Organization Active NPI

Brighton Neurology, PLLC

  • Neurology Physician
  • Brighton, MI
National Provider Identifier
1053703884
Registry record updated Mar 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
4301073971 Issued in MI
Legal business name
BRIGHTON NEUROLOGY, PLLC
Practice address
7305 Grand River Rd
Ste 550
Brighton, MI 48114-7376
Phone
(810) 534-5599
Fax
(810) 534-5999
NPI assigned
Mar 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2015

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

Authorized official

Name
Dr. XI Guo, M.D.NPI 1710074356
Title
Owner/Neurologist
Phone
(810) 534-5599

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 4301073971 MI Primary

Addresses

Primary practice location

7305 Grand River Rd
Ste 550
Brighton, MI 48114-7376

Mailing address

7305 Grand River Rd
Ste 550
Brighton, MI 48114-7376
Phone (810) 534-5599

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150414001577 MI Part B Supplier - Clinic/Group Practice 9931427473 Receives reassigned benefits from 1 practitioner
Practice locations: Brighton, MI

National Provider Directory

National Provider Directory

Locations

7305 Grand River Rd
Ste 550
Brighton, MI 48114
Phone (810) 534-5599

7305 Grand River Rd
Brighton, MI 48114

Practitioners & affiliated clinicians

Practitioners 2

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": "1425340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425340800000",
    "number": "1053703884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7305 GRAND RIVER RD",
            "address_2": "STE 550",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481147376",
            "telephone_number": "810-534-5599",
            "fax_number": "810-534-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7305 GRAND RIVER RD",
            "address_2": "STE 550",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481147376",
            "telephone_number": "810-534-5599",
            "fax_number": "810-534-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTON NEUROLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-03",
        "last_updated": "2015-03-03",
        "status": "A",
        "authorized_official_last_name": "GUO",
        "authorized_official_first_name": "XI",
        "authorized_official_title_or_position": "OWNER/NEUROLOGIST",
        "authorized_official_telephone_number": "810-534-5599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "4301073971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; 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.