MCLAREN MACOMB
NPI 1285685339
Internal Medicine in Clinton Township, MI

NPI Status: Active since May 13, 2006

Contact Information

36500 S GRATIOT AVE
STE. 102
CLINTON TOWNSHIP, MI
ZIP 48035
Phone: (586) 790-9003
Fax: (586) 493-3603

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  • Organization
  • Internal Medicine
  • CLIA Number: 23D0878512
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-16-2026

About MCLAREN MACOMB

This page provides the complete NPI Profile along with additional information for Mclaren Macomb, an internist established in Clinton Township, Michigan operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1285685339 assigned on May 2006. The practitioner's primary taxonomy code is 207R00000X with license number 5101014297 (MI). The provider is registered as an organization and their NPI record was last updated 8 years ago. Mclaren Macomb operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mr. Thomas M Brisse (Ceo)

NPI
1285685339
Provider Name
MCLAREN MACOMB
Entity Type
Organization
Location Address
36500 S GRATIOT AVE STE. 102 CLINTON TOWNSHIP, MI 48035
Location Phone
(586) 790-9003
Location Fax
(586) 493-3603
Mailing Address
36500 S GRATIOT AVE STE. 102 CLINTON TOWNSHIP, MI 48035
Mailing Phone
(586) 790-9003
Mailing Fax
(586) 493-3603
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-13-2006
Last Update Date
05-24-2018
Code Navigator

An internist like Mclaren Macomb is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
5101014297
License State
MI
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207RG0300XAllopathic & Osteopathic Physicians

Internal Medicine
Geriatric Medicine

5101013302 (MI)
2207X00000XAllopathic & Osteopathic Physicians

Orthopaedic Surgery

 
3208600000XAllopathic & Osteopathic Physicians

Surgery

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. THOMAS M BRISSE

Authorized Official Title
CEO
Authorized Official Phone
(586) 493-8083

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
23D0878512
Facility Type
Physician Office
Certificate Effective Date
October 17, 2024
Certificate Expiration Date
October 16, 2026
Laboratory Director
BETH WENDT
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Mclaren Macomb to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1285685339, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
5
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
8
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
3
Unchanged
Pos 9
3
Doubled → 6
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 6 → 12 → 3 5 → 10 → 1 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 6 + 5 + 1 + 2 + 8 + 1 + 0 + 3 + 6 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1285685339.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Obstetrics & Gynecology (Reproductive Endocrinology)
36500 S GRATIOT AVE, STE. 202
CLINTON TOWNSHIP, MI 48035
Pediatrics
36500 S GRATIOT AVE, STE. 101
CLINTON TOWNSHIP, MI 48035
Family Medicine
36500 S GRATIOT AVE, SUITE 202
CLINTON TWP, MI 48035
Family Medicine
36500 S GRATIOT AVE, SUITE 202
CLINTON TOWNSHIP, MI 48035
Family Medicine
36500 S GRATIOT AVE, STE. 202
CLINTON TOWNSHIP, MI 48035
Orthopaedic Surgery
36500 S GRATIOT AVE, SUITE 102
CLINTON TOWNSHIP, MI 48035
Neuromusculoskeletal Medicine & OMM
36500 S GRATIOT AVE, SUITE 202
CLINTON TOWNSHIP, MI 48035
Internal Medicine
36500 S GRATIOT AVE, SUITE 102
CLINTON TOWNSHIP, MI 48035
Surgery
36500 S GRATIOT AVE, SUITE 102
CLINTON TOWNSHIP, MI 48035
Pediatrics
36500 S GRATIOT AVE, STE. 101
CLINTON TOWNSHIP, MI 48035
Student in an Organized Health Care Education/Training Program
36500 S GRATIOT AVE
CLINTON TWP, MI 48035
Student in an Organized Health Care Education/Training Program
36500 S GRATIOT AVE
CLINTON TWP, MI 48035
Internal Medicine
36500 S GRATIOT AVE, STE 102
CLINTON TWP, MI 48035
Student in an Organized Health Care Education/Training Program
36500 S GRATIOT AVE
CLINTON TWP, MI 48035
Emergency Medicine
36500 S GRATIOT AVE
CLINTON TWP, MI 48035
Urology
36500 S GRATIOT AVE
CLINTON TWP, MI 48035
Obstetrics & Gynecology
36500 S GRATIOT AVE, SUITE 202
CLINTON TOWNSHIP, MI 48035
Internal Medicine
36500 S GRATIOT AVE
CLINTON TOWNSHIP, MI 48035
Emergency Medicine
36500 S GRATIOT AVE
CLINTON TWP, MI 48035
Internal Medicine (Gastroenterology)
36500 S GRATIOT AVE
CLINTON TWP, MI 48035

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285685339, enumerated as an "organization" on May 13, 2006.

The provider is located at 36500 S GRATIOT AVE STE. 102 CLINTON TOWNSHIP, MI 48035 and the phone number is (586) 790-9003.

Internal Medicine with taxonomy code 207R00000X.