Brookside Family Medicine A Center for Health and Well-Being PLC
NPI 1699957571ActiveOrganization· Family Medicine· Traverse City, MI
Family Medicine in Traverse City, Michigan, registered in NPPES in December 2007. The authorized official on file is Debra Kay Graetz, MD, Owner/Physician. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1699957571 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 3, 2007 |
| Last updated in NPPES | Feb 15, 2024 |
| Certified by provider | Feb 15, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 4301068214 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
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