Jeffrey Thomas Debruyn
Community Health Worker in Detroit, MI. Individual provider (NPI-1).
NPI number1235939596
StatusActive
Last updated in NPPESMar 17, 2025
Details
- NPI
- 1235939596
- Entity type
- Individual (NPI-1)
- Name
- Jeffrey Thomas Debruyn
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 17, 2025
- Certification date
- Mar 17, 2025
- Last updated
- Mar 17, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
1950 Trumbull StDetroit, MI 48216-1529
Phone 248-953-0469
Mailing address
2022 23rd StDetroit, MI 48216-1568
Phone 248-953-0469
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 393 Community Health Worker providers in Detroit · All 25,238 providers in Detroit
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