Michael E Brokaw
Peer Specialist • Canton, MI
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Michael Brokaw has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Michael Brokaw was a registered Peer Specialist practicing in Canton, MI. Throughout an active medical career spanning 2 years, Michael Brokaw provided care at the practice location at 43825 MICHIGAN AVE STE 2 until profile deactivation on 2019-10-28.
Practice Location & Contact Primary Location
43825 Michigan Ave Ste 2
Canton, MI 481882551
Specialty Benchmarks & Practice Insights
Comparative analytics for Peer Specialist in Canton, MI
Practicing in Canton, MI (1765 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 175T00000X
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Licensed Practical Nurse
Licensed Practical Nurse
Registered Nurse
Registered Nurse, Bachelor of Science in Nursing
Psychologist
Licensed Limited Psychologist
Licensed Practical Nurse
Licensed Practical Nurse
Registered Nurse
Registered Nurse
Licensed Practical Nurse
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on October 28, 2019
NPI status registered as active in NPPES database
Registered at 43825 MICHIGAN AVE STE 2, CANTON, MI 481882551 (Tel: 7347130088)
Registered at 37450 SCHOOLCRAFT RD STE 110, LIVONIA, MI 481501000 (Tel: 7344584601)
Recorded as MICHAEL BROKAW
Peer Specialist
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
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NPI Administrative Meta
Mailing Address
37450 Schoolcraft Rd Ste 110
Livonia, MI 481501000
Phone: 7344584601
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