Justin Bruyneel, is a
Nurse Practitioner - Psychiatric/mental Health based in Allenton, Michigan. Justin Bruyneel is licensed to practice in Michigan (license number 4704352695) and his current practice location is
748 Sperry Rd, Allenton, Michigan. He can be reached at his office (for appointments etc.) via phone at
(810) 627-1891.
NPI number for Justin Bruyneel is 1538511027 and his current mailing address is 22930 Avalon St, Saint Clair Shores, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1538511027.
Provider's Profile
Full Name | Justin Bruyneel |
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Gender | Male |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 748 Sperry Rd, Allenton, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1538511027
- Provider Enumeration Date: 07/07/2016
- Last Update Date: 01/13/2023
Medical Identifiers
Medical identifiers for Justin Bruyneel such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1538511027 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 4704352695 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Justin Bruyneel is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Justin Bruyneel, 22930 Avalon St, Saint Clair Shores, MI 48080-2465 Ph: (810) 627-1891 | Justin Bruyneel, 748 Sperry Rd, Allenton, MI 48002-3818 Ph: (810) 627-1891 |
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