DR. KATHLEEN MICHELLE FOUCHE BRAZZLE M.D.
NPI 1629057906
Psychiatry & Neurology - Psychiatry in Pontiac, MI

Q: What is Kathleen Fouche Brazzle's NPI number?

The NPI number for Kathleen Fouche Brazzle is 1629057906. It was assigned to this individual provider in the NPPES registry on January 13, 2006.

Q: What is Kathleen Fouche Brazzle's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since January 13, 2006PECOS EnrolledAccepts Medicare Assignment

461 W HURON ST STE 107, PONTIAC, MI 48341(248) 724-7600(248) 724-6800 Get Directions Write a Review

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Kathleen Michelle Fouche Brazzle M.d. NPPES

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

DR. KATHLEEN MICHELLE FOUCHE BRAZZLE M.D. (NPI 1629057906) is an individual psychiatry provider in Pontiac, Michigan, licensed in Michigan (4301052026) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (1987).

NPPES Registry Identity

NPI1629057906

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameDR. KATHLEEN MICHELLE FOUCHE BRAZZLECredential: M.D.

Location Address461 W HURON ST STE 107Pontiac, MI 48341-1601

Mailing AddressPo Box 430150Pontiac, MI 48343-0150 · (248) 724-7600 · Fax (248) 724-6800

Phone(248) 724-7600

Fax(248) 724-6800

Sole ProprietorNo

Medical School CMSWayne State University School Of MedicineGraduated 1987

Enumeration DateJanuary 13, 2006

Last NPPES UpdateJanuary 27, 2026

NPPES CertifiedJanuary 27, 2026

✔ NPI 1629057906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in MI · 4301052026✔ Licensed in GA · 049875

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License 049875 (GA), 4301052026 (MI)

461 W HURON ST STE 107, Pontiac, MI 48341

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kathleen Michelle Fouche Brazzle M.d. 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 ID7810939113

PECOS Enrollment IDI20050526000511

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.

Medicare Billing Reassignments

Medicare enrollment records show Kathleen Fouche Brazzle reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Recovery Physicians Network Of Michigan

3.6 mi

Addiction (Substance Use Disorder)

1525 UNIVERSITY DR
Auburn Hills, MI 48326

Reassigned Medicare billing, Michigan enrollment
63 clinicians in this Medicare group

NPI 1689343683 (248) 326-9200

Havenwyck Hospital Inc

3.6 mi

Psychiatric Hospital

1525 UNIVERSITY DR
Auburn Hills, MI 48326

Reassigned Medicare billing, Michigan enrollment
15 clinicians in this Medicare group

NPI 1053342220 (248) 373-9200

Psygenics Inc

22 mi

Clinical

1 PARKLANE BLVD STE 200E
Dearborn, MI 48126

Reassigned Medicare billing, Michigan enrollment
14 clinicians in this Medicare group

NPI 1669736104 (313) 846-2606

Jewish Family Service

Counseling

6555 W MAPLE RD
West Bloomfield, MI 48322

Reassigned Medicare billing, Michigan enrollment
22 clinicians in this Medicare group

NPI 1699767533 (248) 592-2300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

132 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48341 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$177.36 typical visit price

range $58.04 – $177.36

Typical copayment $44.34 (range $14.51 – $44.34)

Most-billed visit code 99205

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MRS. SANITHA PULIKKOTIL

Counselor (Professional)