Dr Kevin Alexander Brody, MD | |
15855 19 Mile Road, Emergency Medicine Department, Clinton Twp, MI 48038-3504 | |
(586) 236-2601 | |
(586) 263-2589 |
Full Name | Dr Kevin Alexander Brody |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 31 Years |
Location | 15855 19 Mile Road, Clinton Twp, Michigan |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063490621 | NPI | - | NPPES |
10-4247795 | Medicaid | MI | |
10-4247810 | Medicaid | MI | |
10-4247777 | Medicaid | MI | |
10-4777110 | Medicaid | MI | |
11272666 | Other | CAQH | |
10-4247848 | Medicaid | MI | |
1063490621 | Medicaid | MI | |
10-4247820 | Medicaid | MI | |
0108236832 | Other | BCBS PIN | |
10-4247801 | Medicaid | MI | |
10-4247786 | Medicaid | MI | |
10-4247839 | Medicaid | MI | |
KB061861 | Other | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 4301061861 (Michigan) | Primary |
207P00000X | Emergency Medicine | 0101244238 (Virginia) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Genesys Regional Medical Center - Health Park | Grand blanc, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Observation Medicine Group Pllc | 6305001777 | 25 |
Entity Name | Professional Emergency Care Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578568036 PECOS PAC ID: 3870493588 Enrollment ID: O20040119000662 |
Entity Name | Emergency Department Physicians Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225083595 PECOS PAC ID: 9436048998 Enrollment ID: O20040312000466 |
Entity Name | Observation Medicine Group Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194084111 PECOS PAC ID: 6305001777 Enrollment ID: O20120710000370 |
Entity Name | Emergency Medicine Physicians Of Genesee County Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275899171 PECOS PAC ID: 9830345677 Enrollment ID: O20120809000397 |
Mailing Address | Practice Location Address |
---|---|
Dr Kevin Alexander Brody, MD 38935 Ann Arbor Road, Credentialing/payer Contracting Services, Livonia, MI 48150-3397 Ph: (734) 632-0175 | Dr Kevin Alexander Brody, MD 15855 19 Mile Road, Emergency Medicine Department, Clinton Twp, MI 48038-3504 Ph: (586) 236-2601 |
Owais Siddiqui, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 36500 S Gratiot Ave, Clinton Twp, MI 48035 Phone: 586-790-9003 | |
Dr. Scott Sipp, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 15855 19 Mile Rd, Clinton Twp, MI 48038 Phone: 586-236-2601 | |
Jerry Michael Greib, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 15855 Nineteen Mile Road, Emergency Medicine Department, Clinton Twp, MI 48038 Phone: 586-493-8000 | |
Anthony James Colucci, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 15855 Nineteen Mile Road, Emergency Medicine Department, Clinton Twp, MI 48038 Phone: 586-263-2601 Fax: 586-263-2589 | |
Dr. Ralph David Scolari, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 15855 Nineteen Mile Road, Emergency Medicine Department, Clinton Twp, MI 48038 Phone: 586-263-2601 Fax: 586-263-2589 | |
Dr. Amit Chopra, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 15855 Nineteen Mile Road, Emergency Medicine Department, Clinton Twp, MI 48038 Phone: 586-263-2601 Fax: 586-263-2589 |