Active NPI
Sports and Regenerative Medicine PLLC
- Family Medicine Physician
- Frankenmuth, MI
National Provider Identifier
1013413236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SPORTS AND REGENERATIVE MEDICINE PLLC
- Practice address
- 170 W Genesee St
Frankenmuth, MI 48734-1305 - Phone
- (989) 652-7344
- Fax
- (989) 652-7355
- NPI assigned
- Apr 5, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gaelen August Rand
- Title
- Billing Specialist
- Phone
- (989) 652-7344
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Sports Medicine (Family Medicine) Physician | 207QS0010X |
Addresses
Primary practice location
170 W Genesee St
Frankenmuth, MI 48734-1305
Mailing address
170 W Genesee St
Frankenmuth, MI 48734-1305
Phone (989) 652-7344
Other practice location 1
4272 W Vienna Rd
Clio, MI 48420-9501
Phone (810) 547-1681
Other practice location 2
4212 Lennon Rd
Flint, MI 48507-1080
Phone (810) 733-2311
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275290017 | Other | MI | NPI |
| 1497442271 | Other | MI | NPI |
| 1255861738 | Other | MI | NPI |
| 1770364804 | Other | MI | NPI |
| 1518520469 | Other | MI | NPI |
| 1740723170 | Other | MI | NPI |
| 1912312489 | Other | MI | NPI |
Other names 1
- STEM Health Systems
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4212 Lennon Rd
Ste 2
Flint, MI 48507
170 W Genesee St
Frankenmuth, MI 48734
Phone (989) 652-7344
Practitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Big Rapids, MI
- NPI 1497442271
-
- Family Nurse Practitioner
- Flushing, MI
- NPI 1740723170
-
- Family Medicine Physician
- Frankenmuth, MI
- NPI 1518520469
-
- Family Medicine Physician
- Frankenmuth, MI
- NPI 1912312489
-
- Family Nurse Practitioner
- Bay City, MI
- NPI 1770364804
-
- Physician Assistant
- Rochester, MI
- NPI 1275290017
-
- Medical Physician Assistant
- Clio, MI
- NPI 1255861738
-
- Family Medicine Physician
- Davison, MI
- NPI 1871117457
-
- Family Medicine Physician
- Frankenmuth, MI
- NPI 1528534666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522886400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770681600000",
"number": "1013413236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 W GENESEE ST",
"city": "FRANKENMUTH",
"state": "MI",
"postal_code": "487341305",
"telephone_number": "989-652-7344",
"fax_number": "989-652-7355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 W GENESEE ST",
"city": "FRANKENMUTH",
"state": "MI",
"postal_code": "487341305",
"telephone_number": "989-652-7344",
"fax_number": "989-652-7355"
}
],
"practiceLocations": [
{
"address_1": "4272 W Vienna Rd",
"address_purpose": "LOCATION",
"city": "Clio",
"state": "MI",
"postal_code": "484209501",
"country_code": "US",
"telephone_number": "810-547-1681",
"fax_number": "810-547-1390",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4212 Lennon Rd",
"address_purpose": "LOCATION",
"city": "Flint",
"state": "MI",
"postal_code": "485071080",
"country_code": "US",
"telephone_number": "810-733-2311",
"fax_number": "810-733-8773",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SPORTS AND REGENERATIVE MEDICINE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-05",
"last_updated": "2026-02-10",
"certification_date": "2026-02-10",
"status": "A",
"authorized_official_last_name": "RAND",
"authorized_official_first_name": "GAELEN",
"authorized_official_middle_name": "AUGUST",
"authorized_official_title_or_position": "BILLING SPECIALIST",
"authorized_official_telephone_number": "989-652-7344"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207QS0010X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Sports Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1275290017",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1497442271",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1255861738",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1770364804",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1518520469",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1740723170",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1912312489",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "STEM Health Systems",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Frankenmuth, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; 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.