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BRANDON MICHAEL THERIAULT DO
NPI 1144970369
Internal Medicine in Clinton Township, MI

Active since March 29, 2022PECOS EnrolledAccepts Medicare Assignment
36500 S GRATIOT AVE STE 102, CLINTON TOWNSHIP, MI 48035(586) 790-9003(586) 493-3603 Get Directions Write a Review

NPPES record last updated: April 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brandon Michael Theriault Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRANDON MICHAEL THERIAULT DO (NPI 1144970369) is an individual internal medicine provider in Clinton Township, Michigan, licensed in Michigan (5151015368) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with Trinity Health Oakland Hospital, and maintains a secondary practice location in Mount Clemens.

NPPES Registry Identity

NPI1144970369
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameBRANDON MICHAEL THERIAULTCredential: DO
Location Address36500 S GRATIOT AVE STE 102Clinton Township, MI 48035-1772
Mailing Address36500 S Gratiot Ave Ste 102Clinton Township, MI 48035-1772 · (586) 790-9003 · Fax (586) 493-3603
Phone(586) 790-9003
Fax(586) 493-3603
Sole ProprietorYes
Medical School CMSLincoln Mem Univ, Debusk Col Of Osteopathic MedGraduated 2022
Enumeration DateMarch 29, 2022
Last NPPES UpdateApril 29, 2022
NPPES CertifiedApril 29, 2022
✔ NPI 1144970369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · 5151015368
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
36500 S GRATIOT AVE STE 102, Clinton Township, MI 48035
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Secondary Practice Location 1

Location 11000 Harrington StMount Clemens, MI 48043-2920 · Phone (586) 493-8749 · Fax (586) 493-3250

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brandon Michael Theriault Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375056872
PECOS Enrollment IDI20250627003240
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Trinity Health Oakland Hospital

Acute Care Hospitals · Pontiac, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230029
Location44405 Woodward AvePontiac, MI 48341 · Oakland County
Emergency services Birthing friendly

Huron Valley-Sinai Hospital

Acute Care Hospitals · Commerce Township, MI
3/5 CMS rating
OwnershipProprietary
CMS Certification Number230277
LocationOne William Carls DriveCommerce Township, MI 48382 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48035 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NATHALIA MILLAN-BORRERO MD
Internal Medicine
36500 S GRATIOT AVE STE 102
CLINTON TOWNSHIP, MI 48035
Macomb County (586) 790-9003
AQSA PERVEZ MD
Internal Medicine
36500 S GRATIOT AVE STE 102
CLINTON TOWNSHIP, MI 48035
Macomb County (586) 790-9003
HUANCHUN NANA LAI MD
Internal Medicine
36500 S GRATIOT AVE STE 102
CLINTON TOWNSHIP, MI 48035
Macomb County (586) 790-9003
TARIQ HASSAN MD
Internal Medicine
36500 S GRATIOT AVE STE 102
CLINTON TOWNSHIP, MI 48035
Macomb County (586) 790-9003

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brandon Theriault's NPI number?

The NPI number for Brandon Theriault is 1144970369. It was assigned to this individual provider in the NPPES registry on March 29, 2022.

Where is Brandon Theriault located?

Brandon Theriault practices at 36500 S Gratiot Ave Ste 102, Clinton Township, MI 48035. The listed phone number is (586) 790-9003.

What is Brandon Theriault's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Brandon Theriault enrolled in Medicare?

Yes. Brandon Theriault is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Brandon Theriault accept?

Health plans from Priority Health list Brandon Theriault as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Brandon Theriault affiliated with any hospitals?

According to CMS data, Brandon Theriault is affiliated with Trinity Health Oakland Hospital and Huron Valley-Sinai Hospital.

When was this NPI record last updated?

The NPPES record for Brandon Theriault was last updated on April 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.