AUDREY BRUELL, M.D. P.C.
NPI 1306965983
Dermatology in Livonia, MI

NPI Status: Active since March 28, 2007

Contact Information

37605 PEMBROKE AVE
JAMES JAMES TOWNE
LIVONIA, MI
ZIP 48152
Phone: (734) 591-7931
Fax: (734) 464-0335

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  • Organization
  • Dermatology
  • Accepts Insurance

About AUDREY BRUELL, M.D. P.C.

This page provides the complete NPI Profile along with additional information for Audrey Bruell, M.d. P.c., a provider established in Livonia, Michigan operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1306965983 assigned on March 2007. The practitioner's primary taxonomy code is 207N00000X with license number 4301062941 (MI). The provider is registered as an organization and their NPI record was last updated 16 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Kathy Mayer Cpc (Billing Supervisor)

NPI
1306965983
Provider Name
AUDREY BRUELL, M.D. P.C.
Entity Type
Organization
Location Address
37605 PEMBROKE AVE JAMES JAMES TOWNE LIVONIA, MI 48152
Location Phone
(734) 591-7931
Location Fax
(734) 464-0335
Mailing Address
37605 PEMBROKE JAMES JAMES TOWNE LIVONIA, MI 48152
Mailing Phone
(734) 591-7931
Mailing Fax
(734) 464-0335
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-28-2007
Last Update Date
04-09-2010
Code Navigator

A dermatologist like Audrey Bruell, M.d. P.c. is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.

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

Dermatology

Taxonomy Code
207N00000X
Type
Allopathic & Osteopathic Physicians
License No.
4301062941
License State
MI
Taxonomy Description
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Cross� Premier PPO Bronze Extra - PPO
  • Blue Cross� Premier PPO Bronze Saver HSA - PPO
  • Blue Cross� Premier PPO Bronze Secure - PPO
  • Blue Cross� Premier PPO Gold - PPO
  • Blue Cross� Premier PPO Gold Extra - PPO
  • Blue Cross� Premier PPO Silver - PPO
  • Blue Cross� Premier PPO Silver Extra - PPO
  • Blue Cross� Premier PPO Silver Saver HSA - PPO
  • Blue Cross� Premier PPO Value - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

KATHY MAYER CPC

Authorized Official Title
BILLING SUPERVISOR
Authorized Official Phone
(989) 666-4775

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
D13610MEDICARE UPIN (02)MI 
OM17600MEDICARE ID-TYPE UNSPECIFIED (04)MI 

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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 1306965983, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

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
3
Unchanged
Pos 3
0
Doubled → 0
Pos 4
6
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
6
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
9
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
3
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 0 → 0 9 → 18 → 9 5 → 10 → 1 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 0 + 6 + 1 + 8 + 6 + 1 + 0 + 9 + 1 + 6 + 24 = 67

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

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1306965983.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Physician Assistant (Medical)
37605 PEMBROKE AVE
LIVONIA, MI 48152
Non-Pharmacy Dispensing Site
37605 PEMBROKE AVE
LIVONIA, MI 48152
Dermatology
37605 PEMBROKE AVE
LIVONIA, MI 48152
Dermatology
37605 PEMBROKE AVE
LIVONIA, MI 48152
Physician Assistant
37605 PEMBROKE AVE
LIVONIA, MI 48152
Physician Assistant
37605 PEMBROKE AVE
LIVONIA, MI 48152

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306965983, enumerated as an "organization" on March 28, 2007.

The provider is located at 37605 PEMBROKE AVE JAMES JAMES TOWNE LIVONIA, MI 48152 and the phone number is (734) 591-7931.

Dermatology with taxonomy code 207N00000X.

The provider might be accepting Accepts: Blue Cross Blue Shield of Michigan Mutual. Please consult your insurance carrier or call the provider to verify.