MEDICARE: BRIAN DUGAS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	01092757A	IN
2	207P00000X	Emergency Medicine Physician	4301070399	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1790739936
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIAN DUGAS MD

Provider Business Mailing Address
First Line	:	18161 W 13 MILE RD
Second Line	:	SUITE A-2
City	:	SOUTHFIELD
State	:	MI
Zip	:	48076-1113
Country	:	US
Telephone Number	:	248-642-9893
Fax Number	:

Provider Business Practice Location Address
First Line	:	6515 STELLHORN RD
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46815-5436
Country	:	US
Telephone Number	:	260-458-3212
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2006
Last Update Date	:	07/15/2025

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