Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ascension Providence Hosptial

Organization Family Medicine Physician · NPI 1053684647

Ascension Providence Hosptial is a Family Medicine Physician in Brighton, Michigan. Licensed in Michigan. Registered with an NPI since 2012.

Licensed in
MI
In the registry since
2012
Specialties on file
4

Practice location Address checks out

10415 Grand River Rd 100
Brighton, MI 48116-6533
Phone: (810) 227-1020
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X
Endocrinology, Diabetes & Metabolism Physician Taxonomy 207RE0101X (MI)
Obstetrics & Gynecology Physician Taxonomy 207V00000X (MI)

Record details

NPI number1053684647
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sarah Starkel — Credentialing Coordinator · (248) 680-8121
NPI enumeratedFebruary 14, 2012
Last updated in NPPESJune 28, 2022
Certification dateJune 28, 2022
Mailing address28000 Dequindre Rd, Warren, MI 48092-2468

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