IndividualActive
Brody Webster, PA-C
NPI 1154805083 · Physician Assistant · Eastpointe, MI
Provider details
- NPI number
- 1154805083
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 5601008749 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
22471 Gratiot Ave
Eastpointe, MI 48021-2353
Phone: (586) 218-7774
Street-level locationGet directions
Mailing address
16261 Roselawn St
Detroit, MI 48221-4929
Additional practice locations (1)
- 23234 Ecorse RdTaylor, MI 48180-1769Phone: (313) 768-5393
Registry dates
- Enumerated
- 2018-09-17
- Last updated
- 2018-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.