Active NPI
Brandi Chyz, PA-C
- Physician Assistant
- Clinton Township, MI
National Provider Identifier
1962012922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601009912
- Practice address
- 15855 19 Mile Rd
Clinton Township, MI 48038-3504 - Phone
- (586) 263-2300
- NPI assigned
- Aug 5, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601009912 | MI | Primary |
Addresses
Primary practice location
15855 19 Mile Rd
Clinton Township, MI 48038-3504
Mailing address
20336 Paddock CT
Macomb, MI 48042-1859
Phone (989) 280-1943
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601009912 | MI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Independent Emergency Physicians, P.C. | Current | Accepting new patients | |
| Professional Emergency Care, PC | Physician Assistant | Current | Accepting new patients |
Locations
15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300
16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000
Interoperability endpoints
- brupprecht564431@direct.hfhs.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Southfield, MI
- NPI 1780791343
-
- Emergency Medicine Physician
- Clinton Township, MI
- NPI 1326235698
Physician Assistant
-
- Family Medicine Physician
- Warren, MI
- NPI 1841462967
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723766400000",
"number": "1962012922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20336 PADDOCK CT",
"city": "MACOMB",
"state": "MI",
"postal_code": "480421859",
"telephone_number": "989-280-1943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15855 19 MILE RD",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480383504",
"telephone_number": "586-263-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHYZ",
"first_name": "BRANDI",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-05",
"last_updated": "2024-08-16",
"certification_date": "2024-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601009912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clinton Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.