Audrey J Bruell (NPI# 1316050388, PAC ID# 9638207822) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1316050388 |
| PAC ID by PECOS | 9638207822 |
| Professional Enrollment ID | I20100508000125 |
| Full Name | Audrey J Bruell |
| Organization Legal Name | AUDREY BRUELL, M.D. P.C. |
| Address |
37605 Pembroke Ave Livonia MI 48152-1050 |
| Phone Number | 7345917931 |
| Gender | F |
| Medical School | NORTHWESTERN UNIVERSITY MEDICAL SCHOOL |
| Graduation Year | 1983 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 3375671563 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230002 | ST MARY MERCY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 37605 Pembroke Ave, Livonia, MI 48152-1050 | 7345917931 | AUDREY BRUELL, M.D. P.C. |
| 37605 Pembroke Ave, Livonia, MI 48152-1050 | PINNACLE DERMATOLOGY, SC |
| Organization Legal Name | AUDREY BRUELL, M.D. P.C. |
| Physicians | 1 |
| Street Address |
37605 PEMBROKE AVE |
| City | LIVONIA |
| State | MI |
| Zip | 48152-1050 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marianne Azneer | Physician Assistant | Pinnacle Dermatology Sc | 37605 Pembroke Ave, Livonia, MI 48152-1050 |
| Audrey M Moxie | Physician Assistant | Pinnacle Dermatology Sc | 37605 Pembroke Ave, Livonia, MI 48152-1050 |
| Stacie Clark | Internal Medicine | Pinnacle Dermatology Sc | 37605 Pembroke Ave, Livonia, MI 48152-1050 |
| Peter J Ret | Physician Assistant | Pinnacle Dermatology Sc | 37605 Pembroke Ave, Livonia, MI 48152-1050 |
| Wendy S Meredith | Physician Assistant | Pinnacle Dermatology Sc | 37605 Pembroke Ave, Livonia, MI 48152-1050 |
| Heidi N Schultz | Physician Assistant | Pinnacle Dermatology Sc | 37605 Pembroke Ave, Livonia, MI 48152-1050 |
| Andrea Lee Dreffs | Physician Assistant | Pinnacle Dermatology Sc | 37605 Pembroke Ave, Livonia, MI 48152-1050 |
| Anne Nguyen | Dermatology | Pinnacle Dermatology Sc | 37605 Pembroke Ave, Livonia, MI 48152-1050 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anil K Jain | Psychiatry | St Mary Mercy Physician Practices | 37595 Seven Mile Rd, 230 St Joes Out Patient Psychiatry and Counseling Cent, Livonia, MI 48152-1003 |
| Mark Stacherski | Family Medicine | Ascension Medical Group Michigan | 37595 7 Mile Rd, Suite 210, Livonia, MI 48152-1003 |
| Courtney Paladino | Clinical Social Worker | St Mary Mercy Physician Practices | 37595 Seven Mile Rd, 230 St Joes Out Patient Psychiatry and Counseling Cent, Livonia, MI 48152-1003 |
| Michael L Schwartz | Diagnostic Radiology | Infinity Primary Care, LLC | 37595 7 Mile Rd, Livonia, MI 48152-1003 |
| Maribeth Knight | Internal Medicine | Infinity Primary Care, LLC | 37595 7 Mile Rd, Livonia, MI 48152-1003 |
| Stacy L Smith | Family Medicine | Infinity Primary Care, LLC | 37595 7 Mile Rd, Livonia, MI 48152-1003 |
| Renee L Bayer | Psychiatry | St Mary Mercy Physician Practices | 37595 Seven Mile Rd, 230 St Joes Out Patient Psychiatry and Counseling Cent, Livonia, MI 48152-1003 |
| Lisa Elconin | Internal Medicine | Infinity Primary Care, LLC | 37595 7 Mile Rd, Suite 210, Livonia, MI 48152-1003 |
| Clint E Bernhard | Family Medicine | Ascension Medical Group Michigan | 37595 7 Mile Rd, Suite 210, Livonia, MI 48152-1003 |
| Jason M St John | Podiatry | Foot Healthcare Associates, PC | 37595 Seven Mile Rd, Suite 370, Livonia, MI 48152-1003 |
| Find all physicians in zip 48152 | |||
| City | LIVONIA |
| Zip Code | 48152 |
| Specialty | DERMATOLOGY |
| City + Specialty | LIVONIA + DERMATOLOGY |
Please comment or provide details below to improve the information on Audrey J Bruell.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.