Vernor M

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

VERNOR M

Doing business as

Vernor M, INC / Vernor Medical

Practice address

7649 W Vernor Hwy
Detroit, MI 48209-1513

Phone

(313) 841-0395

NPI assigned

May 7, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Brenda Allende

Title

Manager

Phone

(313) 841-0395

Specialties & licenses 3

Addresses

Other names 1

• Vernor M, INC / Vernor Medical Doing business as

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

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601251200000",
    "number": "1164044624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7649 W VERNOR HWY",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482091513",
            "telephone_number": "313-841-0395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7649 W VERNOR HWY",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482091513",
            "telephone_number": "313-841-0395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERNOR M",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-07",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A",
        "authorized_official_last_name": "ALLENDE",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "313-841-0395",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vernor M, INC / Vernor Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexa Vermeal, DP-CADC
• Patricia Vernier, CNP
• Vernor Dental Care
• Vernor Group & Associated Inc
• Vernor Health Center PC
• Vernor MC Inc
• Vernor Medical Center, PC
• Vernor Pediatric PC
• Vernor Pharmacy PLLC
• Vernor Urgent Care PLLC

• Family Medicine Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.