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

Brandon Michael Theriault, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1144970369

Brandon Michael Theriault, DO is an Internal Medicine in Clinton Township, Michigan. Graduated from Lincoln Mem Univ, Debusk Col of Osteopathic Med in 2022, 4 years ago. Practices with Mercy Hospitalists, PLLC, a 26-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
4
Trained at
Lincoln Mem Univ, Debusk Col of Osteopathic Med
Licensed in
MI
In the registry since
2022
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

36500 S Gratiot Ave Ste 102
Clinton Township, MI 48035-1772
Phone: (586) 790-9003
Fax: (586) 493-3603
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1000 Harrington St, Mount Clemens, MI 48043-2920 — (586) 493-8749

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 5151015368 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1144970369
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMarch 29, 2022
Last updated in NPPESApril 29, 2022
Certification dateApril 29, 2022
Mailing address36500 S Gratiot Ave Ste 102, Clinton Township, MI 48035-1772

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolLINCOLN MEM UNIV, DEBUSK COL OF OSTEOPATHIC MED
Graduated 2022 (4 years in practice)
Group practice Mercy Hospitalists, Pllc — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Clinton Township