DUSTIN PAUL BROWN MD, PHD
NPI 1316477011
Student in an Organized Health Care Education/Training Program in Livonia, MI

Q: What is Dustin Brown's NPI number?

The NPI number for Dustin Brown is 1316477011. It was assigned to this individual provider in the NPPES registry on June 14, 2017.

Q: What is Dustin Brown's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Dustin Brown was last updated on December 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.

Active since June 14, 2017PECOS EnrolledAccepts Medicare Assignment

36475 FIVE MILE RD, LIVONIA, MI 48154(734) 655-4800(734) 655-2911 Get Directions Write a Review

NPPES record last updated: December 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 30, 2024, Jun 14, 2017 (2 updates tracked since 2017).

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About Dustin Paul Brown Md, Phd NPPES

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

DUSTIN PAUL BROWN MD, PHD (NPI 1316477011) is an individual student in an organized health care education/training program in Livonia, Michigan and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1316477011

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDUSTIN PAUL BROWNCredential: MD, PHD

Location Address36475 FIVE MILE RDLivonia, MI 48154-1971

Mailing Address36475 Five Mile RdLivonia, MI 48154-1971 · (734) 655-4800

Phone(734) 655-4800

Fax(734) 655-2911

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJune 14, 2017

Last NPPES UpdateDecember 30, 20242 updates tracked since enumeration

✔ NPI 1316477011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

36475 FIVE MILE RD, Livonia, MI 48154

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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

Dustin Paul Brown Md, Phd 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 ID8628506375

PECOS Enrollment IDI20250109001654

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.

MS. ANDREA NICOLE YURCAK PA-C

Physician Assistant