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

Dr. Brian Kevin Theisen, MD

Individual provider Cytopathology Physician · NPI 1407246226

Dr. Brian Kevin Theisen, MD is a Pathology in Detroit, Michigan. Graduated from Wayne State University School of Medicine in 2011, 15 years ago. Practices with Henry Ford Health System, a 2,540-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in District of Columbia and Michigan.

Years since qualifying
15
Trained at
Wayne State University School of Medicine
Licensed in
DC, MI
In the registry since
2015
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone: (313) 916-2964
Show map & directions

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

Additional practice locations (2)

  • 2120 L St Nw, Washington, DC 20037-1527 — (202) 715-4665
  • 3550 Terrace St, Pittsburgh, PA 15213-2500 — (412) 802-6013

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 4301501908 (MI)
Cytopathology Physician Taxonomy 207ZC0500X · Licence 4301501908 (MI)
Cytopathology Physician Taxonomy 207ZC0500X · Licence MD045329 (DC)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence MD045329 (DC)

Record details

NPI number1407246226
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 1, 2015
Last updated in NPPESMay 8, 2020
Certification dateMay 8, 2020

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Henry Ford Health System — 2540 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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