MCLAREN MACOMB
NPI 1215057609
Internal Medicine in Clinton Township, MI

Active since March 30, 2007CLIA Certified · 2 labs
36500 S GRATIOT AVE, SUITE 102, CLINTON TOWNSHIP, MI 48035(586) 790-9003(586) 493-3603 Get Directions Write a Review

NPPES record last updated: May 23, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mclaren Macomb NPPES

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

MCLAREN MACOMB (NPI 1215057609) is a healthcare organization registered as an internal medicine in Clinton Township, Michigan and active in the NPI registry since March 2007. The organization holds 2 active CLIA laboratory certificates and lists Thomas M Brisse, Ceo, as its authorized official.

NPPES Registry Identity

NPI1215057609
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMCLAREN MACOMB
Location Address36500 S GRATIOT AVE, SUITE 102Clinton Township, MI 48035
Mailing Address401 S Ballenger HwyFlint, MI 48532-3638 · (810) 342-1000 · Fax (810) 342-1590
Fax(586) 493-3603
Organization SubpartNo
Authorized OfficialThomas M BrisseCeo · (586) 493-8083
Enumeration DateMarch 30, 2007
Last NPPES UpdateMay 23, 2018
✔ NPI 1215057609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
36500 S GRATIOT AVE, Clinton Township, MI 48035

Other Identifiers 1

Other110E062060MI · Blue Cross Blue Shield

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D0860398

Mclaren Macomb Clinton Twp Womens Health · Clinton Township, MI
Active · expires Feb 11, 2028
CLIA Number23D0860398
Laboratory TypePhysician Office
Certificate Effective DateFebruary 12, 2026
Certificate Expiration DateFebruary 11, 2028
Laboratory DirectorSarah Jones
Laboratory Phone(586) 286-4880
Laboratory LocationMclaren Macomb Clinton Twp Womens Health37399 Garfield Suite 203, Clinton Township, MI 48036
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 23D0363663

Mclaren Macomb Health And Wellness · Clinton Township, MI
Active · expires Jul 30, 2027
CLIA Number23D0363663
Laboratory TypePhysician Office
Certificate Effective DateJuly 31, 2025
Certificate Expiration DateJuly 30, 2027
Laboratory DirectorLisa Langenburg
Laboratory Phone(586) 791-5250
Laboratory LocationMclaren Macomb Health And Wellness21510 Harrington Street Suite 202, Clinton Township, MI 48036
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 18

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

Obstetrics & Gynecology
36500 S GRATIOT AVE, SUITE 202
CLINTON TOWNSHIP, MI 48035
Surgery
36500 S GRATIOT AVE, SUITE 102
CLINTON TOWNSHIP, MI 48035
Internal Medicine
36500 S GRATIOT AVE, STE. 102
CLINTON TOWNSHIP, MI 48035
Family Medicine
36500 S GRATIOT AVE, STE. 202
CLINTON TOWNSHIP, MI 48035
Internal Medicine
36500 S GRATIOT AVE, STE 102
CLINTON TWP, MI 48035
Neuromusculoskeletal Medicine & OMM
36500 S GRATIOT AVE, SUITE 202
CLINTON TOWNSHIP, MI 48035
Orthopaedic Surgery
36500 S GRATIOT AVE, SUITE 102
CLINTON TOWNSHIP, MI 48035
Family Medicine
36500 S GRATIOT AVE, SUITE 202
CLINTON TOWNSHIP, MI 48035

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 Mclaren Macomb's NPI number?

The NPI number for Mclaren Macomb is 1215057609. It was assigned to this organization in the NPPES registry on March 30, 2007.

Where is Mclaren Macomb located?

Mclaren Macomb is located at 36500 S Gratiot Ave Suite 102, Clinton Township, MI 48035. The listed phone number is (586) 790-9003.

What is Mclaren Macomb's specialty?

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

Does Mclaren Macomb hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Mclaren Macomb accept?

Health plans from Blue Care Network of Michigan list Mclaren Macomb 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.

When was this NPI record last updated?

The NPPES record for Mclaren Macomb was last updated on May 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.