DANIEL T OBRIEN PA
NPI 1255434155
Physician Assistant - Medical in Detroit, MI

Active since September 06, 2006PECOS Enrolled
4646 JOHN R ST, 11M, DETROIT, MI 48201(313) 576-3724 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Daniel T Obrien Pa NPPES

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

DANIEL T OBRIEN PA (NPI 1255434155) is an individual medical provider in Detroit, Michigan, licensed in Michigan (5601001300) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255434155
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameDANIEL T OBRIENCredential: PA
Location Address4646 JOHN R ST, 11MDetroit, MI 48201-1916
Mailing Address43350 Tyler RdBelleville, MI 48111-4330 · (313) 576-3724
Sole ProprietorNo
Enumeration DateSeptember 6, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1255434155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in MI · 5601001300
4646 JOHN R ST, Detroit, MI 48201

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Daniel T Obrien Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

Student in an Organized Health Care Education/Training Program
4646 JOHN R ST
DETROIT, MI 48201
Registered Nurse (Medical-Surgical)
4646 JOHN R ST
DETROIT, MI 48201
Registered Nurse (Gastroenterology)
4646 JOHN R ST
DETROIT, MI 48201
Registered Nurse
4646 JOHN R ST
DETROIT, MI 48201
Registered Nurse
4646 JOHN R ST
DETROIT, MI 48201
Registered Nurse
4646 JOHN R ST
DETROIT, MI 48201
Licensed Practical Nurse
4646 JOHN R ST
DETROIT, MI 48201
Religious Nonmedical Practitioner
4646 JOHN R ST
DETROIT, MI 48201

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 Daniel Obrien's NPI number?

The NPI number for Daniel Obrien is 1255434155. It was assigned to this individual provider in the NPPES registry on September 6, 2006.

Where is Daniel Obrien located?

Daniel Obrien practices at 4646 John R St 11M, Detroit, MI 48201. The listed phone number is (313) 576-3724.

What is Daniel Obrien's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Daniel Obrien enrolled in Medicare?

Yes. Daniel Obrien is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Daniel Obrien was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.