Organization Active NPI

Ehab Brikho MD PC

  • Internal Medicine Physician
  • Taylor, MI
National Provider Identifier
1013200708
Registry record updated May 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301089701 Issued in MI
Legal business name
EHAB BRIKHO MD PC
Practice address
23300 Ecorse Rd
Taylor, MI 48180-1768
Phone
(313) 291-6694
Fax
(313) 291-6694
NPI assigned
May 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nancy Molnar
Title
Office Manager
Phone
(734) 291-6694

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 4301089701 MI Primary

Addresses

Primary practice location

23300 Ecorse Rd
Taylor, MI 48180-1768

Mailing address

23300 Ecorse Rd
Taylor, MI 48180-1768
Phone (313) 291-6694

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111205000189 MI Part B Supplier - Clinic/Group Practice 8921273814 Receives reassigned benefits from 3 practitioners
Practice locations: Royal Oak, MI; Southfield, MI; Sterling HTS, MI; Troy, MI

National Provider Directory

National Provider Directory

Locations

3030 Greenfield Rd
Royal Oak, MI 48073
Phone (248) 288-6610

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1306454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306454400000",
    "number": "1013200708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23300 ECORSE RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481801768",
            "telephone_number": "313-291-6694",
            "fax_number": "313-291-6694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23300 ECORSE RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481801768",
            "telephone_number": "313-291-6694",
            "fax_number": "313-291-6694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EHAB BRIKHO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-27",
        "last_updated": "2011-05-27",
        "status": "A",
        "authorized_official_last_name": "MOLNAR",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "734-291-6694"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301089701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.