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

Brian Grossman

Individual provider Primary Care Nurse Practitioner · NPI 1366949596

Brian Grossman is a Nurse Practitioner in Allen Park, Michigan. Qualified in 2017, 9 years ago. Practices with Ear Nose and Throat Consultants PC, a 29-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
9
Licensed in
MI
In the registry since
2018

Practice location Address checks out

14575 Southfield Rd
Allen Park, MI 48101-2640
Phone: (313) 381-8787
Show map & directions

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

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 4704306156 (MI)

Record details

NPI number1366949596
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 13, 2018
Last updated in NPPESApril 13, 2018
Mailing address460 E Cambourne St, Ferndale, MI 48220-1306

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Ear Nose And Throat Consultants Pc — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Allen Park