Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

BROOKE HAVENS DPM
NPI 1972432920
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since May 15, 2026PECOS Enrolled
4201 SAINT ANTOINE ST, DETROIT, MI 48201(313) 745-7071 Get Directions Write a Review

NPPES record added: May 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brooke Havens Dpm NPPES

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

BROOKE HAVENS DPM (NPI 1972432920) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since May 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972432920
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameBROOKE HAVENSCredential: DPM
Location Address4201 SAINT ANTOINE STDetroit, MI 48201-2153
Mailing Address845 Shawnee AveDes Moines, IA 50313-3359 · (515) 689-6189
Sole ProprietorYes
Enumeration DateMay 15, 2026
NPPES CertifiedMay 15, 2026
NPI 1972432920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
4201 SAINT ANTOINE 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)

Brooke Havens Dpm 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.

Pediatrics (Pediatric Emergency Medicine)
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Anesthesiology
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Nurse Anesthetist, Certified Registered
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Orthopaedic Surgery
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Emergency Medicine
4201 SAINT ANTOINE ST, UHC-6G
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST, 6G UHC
DETROIT, MI 48201
Orthopaedic Surgery
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE 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 Brooke Havens's NPI number?

The NPI number for Brooke Havens is 1972432920. It was assigned to this individual provider in the NPPES registry on May 15, 2026.

Where is Brooke Havens located?

Brooke Havens practices at 4201 Saint Antoine St, Detroit, MI 48201. The listed phone number is (313) 745-7071.

What is Brooke Havens's specialty?

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

Is Brooke Havens enrolled in Medicare?

Yes. Brooke Havens is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brooke Havens was last updated on May 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.