Individual provider Active NPI

Brent Reusser, D.O.

  • Diagnostic Radiology Physician
  • Warren, MI
National Provider Identifier
1952507758
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
5101015994 Issued in MI
Practice address
13355 East Ten Mile Road
Attn Medical Education
Warren, MI 48089
Phone
(586) 759-7690
NPI assigned
Jun 27, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 5101015994 MI Primary

Addresses

Primary practice location

13355 East Ten Mile Road
Attn Medical Education
Warren, MI 48089

Mailing address

40450 Tamarack Dr
Apt 203
Canton, MI 48188-2818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090429000372 MI Practitioner - Diagnostic Radiology 5193873297 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
R Franklin University of Med & Sci/Chicago Medical School, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Health SystemGroup PAC ID 0547178311, 2,550 clinicians
Henry Ford Urgent CareGroup PAC ID 6901296110, 111 clinicians

Practice addresses (Care Compare)

1 Ford PL
Detroit, MI 48202-3450
Phone (313) 874-6677

15717 15 Mile Rd
Clinton Township, MI 48035-2101
Phone (586) 285-3800

15855 19 Mile Rd
Clinton Township, MI 48038-3504
Phone (586) 263-2300

159 Kercheval Ave
Grosse Pointe Farms, MI 48236-3610
Phone (313) 640-1000

16258 Fort St
Southgate, MI 48195-1401
Phone (734) 250-9062

19401 Hubbard Dr
Dearborn, MI 48126-2641
Phone (313) 916-2600

26763 Ford Rd
Dearborn Heights, MI 48127-2840
Phone (313) 827-1022

27897 Woodward Ave
Berkley, MI 48072-0907
Phone (248) 397-6196

2799 W Grand Blvd
Detroit, MI 48202-2608

29200 Schoolcraft Rd
Livonia, MI 48150-2228
Phone (734) 523-1050

29531 Plymouth Rd
Livonia, MI 48150-2125
Phone (734) 237-7037

29613 7 Mile Rd
Livonia, MI 48152-1909
Phone (734) 743-2579

30795 23 Mile Rd
Chesterfield, MI 48047-5720
Phone (586) 421-3000

3500 15 Mile Rd
Sterling Heights, MI 48310-5353
Phone (586) 977-9300

39450 W 12 Mile Rd
Novi, MI 48377-3600
Phone (248) 344-6688

40463 S Groesbeck Hwy
Clinton Township, MI 48036-5005
Phone (586) 300-9114

40777 Ann Arbor Rd E
Henry Ford Health Ortho Hand Spec
Plymouth, MI 48170-4448
Phone (734) 928-1600

5500 Auto Club Dr
Dearborn, MI 48126-2779
Phone (313) 425-4500

6530 Farmington Rd
West Bloomfield, MI 48322-3216
Phone (248) 661-8240

6773 W Maple Rd
West Bloomfield, MI 48322-3013
Phone (248) 661-6100

6777 W Maple Rd
West Bloomfield, MI 48322-3013
Phone (248) 661-6470

6901 Orchard Lake Rd
West Bloomfield, MI 48322-3416
Phone (248) 671-3074

71050 Van Dyke Rd
Bruce TWP, MI 48065-3898
Phone (586) 277-0244

7800 W Outer Dr
Detroit, MI 48235-3461
Phone (313) 543-6200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101015994MIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Macomb Hospital Corporation Diagnostic Radiology CurrentSince Jan 1, 2020 Accepting new patients
Henry Ford Health System Current Accepting new patients
Henry Ford Macomb Hospital Corporation Current Accepting new patients
Henry Ford Urgent Care CurrentSince Feb 1, 2022 Accepting new patients
Henry Ford Health System Diagnostic Radiology CurrentSince Mar 2, 2009 Accepting new patients
Henry Ford Macomb Hospital Corporation Diagnostic Radiology CurrentSince Jan 1, 2020 Accepting new patients
Hurley Medical Center CurrentSince Apr 10, 2017 Accepting new patients
Henry Ford Pathology Current Accepting new patients
Henry Ford Health System CurrentSince Mar 2, 2009 Accepting new patients
Hurley Medical Center Diagnostic Radiology CurrentSince Apr 10, 2017 Accepting new patients
Hurley Medical Center Current Accepting new patients
Ici 24 7 PC Diagnostic Radiology Past Accepting new patients
Bi-County Physicians Practices Diagnostic Radiology Past Accepting new patients

Locations

15717 15 Mile Rd
Clinton Twp, MI 48035
Phone (586) 285-3800

15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2373

1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-4316

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000

13355 E 10 Mile Rd
Warren, MI 48089
Phone (586) 759-7300

Interoperability endpoints

  • Direct secure messaging: breusser13290@direct.hfhs.org

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952507758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40450 TAMARACK DR",
            "address_2": "APT 203",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481882818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13355 EAST TEN MILE ROAD",
            "address_2": "ATTN MEDICAL EDUCATION",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "48089",
            "telephone_number": "586-759-7690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REUSSER",
        "first_name": "BRENT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "5101015994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.