Organization Active NPI

Basic Research and Investigative Neuroscience, PC.

  • Neurology Physician
  • Southfield, MI
National Provider Identifier
1073552410
Registry record updated Mar 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
BASIC RESEARCH AND INVESTIGATIVE NEUROSCIENCE, PC.
Practice address
20180 W 12 Mile Rd
Suite 10
Southfield, MI 48076-5412
Phone
(248) 358-5959
Fax
(248) 358-3299
NPI assigned
Jun 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2009

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

Authorized official

Name
A Robert Spitzer, MD
Title
Managing Agent
Phone
(248) 358-5959

Specialties & licenses 1

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

Addresses

Primary practice location

20180 W 12 Mile Rd
Suite 10
Southfield, MI 48076-5412

Mailing address

20180 W 12 Mile Rd
Suite 10
Southfield, MI 48076-5412
Phone (248) 358-5959

Other identifiers 1

IdentifierTypeStateIssuer
OF37165OtherMIBCBS

National Provider Directory

National Provider Directory

Locations

20180 W 12 Mile Rd
Ste 10
Southfield, MI 48076
Phone (248) 358-5959

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237334400000",
    "number": "1073552410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20180 W 12 MILE RD",
            "address_2": "SUITE 10",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480765412",
            "telephone_number": "248-358-5959",
            "fax_number": "248-358-3299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20180 W 12 MILE RD",
            "address_2": "SUITE 10",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480765412",
            "telephone_number": "248-358-5959",
            "fax_number": "248-358-3299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASIC RESEARCH AND INVESTIGATIVE NEUROSCIENCE, PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2009-03-18",
        "status": "A",
        "authorized_official_last_name": "SPITZER",
        "authorized_official_first_name": "A",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "MANAGING AGENT",
        "authorized_official_telephone_number": "248-358-5959",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "OF37165",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.