Individual provider Active NPI

Nicholas Brough

  • Physician Assistant
  • Mt Pleasant, MI
National Provider Identifier
1962228940
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
4851 E Pickard St Ste 2700
Mount Pleasant, MI 48858-2042
Phone
(989) 463-2333
NPI assigned
Nov 25, 2024
Last updated
Jun 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

4851 E Pickard St Ste 2700
Mount Pleasant, MI 48858-2042

Mailing address

4000 Wellness Dr
Midland, MI 48670-1000
Phone (844) 832-1956

Other practice location 1

602 Beech St Ste 1200
Clare, MI 48617-1469
Phone (989) 802-5080

Other practice location 2

4851 E Pickard St Ste 2500
Mount Pleasant, MI 48858-2042
Phone (989) 463-2333

Other practice location 3

301 Michigan St NE
Grand Rapids, MI 49503-3314
Phone (616) 331-5700

Other practice location 4

315 E Warwick Dr Ste A
Alma, MI 48801-1083
Phone (989) 463-2333

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260331000604 MI Practitioner - Physician Assistant 3870078512 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4000 Wellness Dr
Midland, MI 48670-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Alpena PastSince Apr 1, 2026 Accepting new patients
Mymichigan Medical Center Alma PastSince Apr 1, 2026 Accepting new patients
Grand Valley State University PastSince Dec 1, 2024 Accepting new patients
Grand Valley State University PastSince Dec 1, 2024 Accepting new patients

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1732492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1962228940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 WELLNESS DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486701000",
            "telephone_number": "844-832-1956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4851 E PICKARD ST STE 2700",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488582042",
            "telephone_number": "989-463-2333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "602 Beech St Ste 1200",
            "address_purpose": "LOCATION",
            "city": "Clare",
            "state": "MI",
            "postal_code": "486171469",
            "country_code": "US",
            "telephone_number": "989-802-5080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4851 E Pickard St Ste 2500",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "MI",
            "postal_code": "488582042",
            "country_code": "US",
            "telephone_number": "989-463-2333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 Michigan St NE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495033314",
            "country_code": "US",
            "telephone_number": "616-331-5700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "315 E Warwick Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Alma",
            "state": "MI",
            "postal_code": "488011083",
            "country_code": "US",
            "telephone_number": "989-463-2333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROUGH",
        "first_name": "NICHOLAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-25",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, MI

Sources for this page

Verify at the official NPI Registry.