Brain Rejuvination Center of America

Primary specialty

Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X

Legal business name

BRAIN REJUVINATION CENTER OF AMERICA

Practice address

8332 Office Park Dr
Grand Blanc, MI 48439

Phone

(810) 691-4816

NPI assigned

May 24, 2018

Organization subpart

No

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

Authorized official

Name

Pagi Legrow

Title

Partner

Phone

(810) 691-4816

Specialties & licenses 1

Addresses

Other names 1

• Cerveau Neuro Spa Other name

Locations

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

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1215428289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12023 RIVERBEND DR",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391723",
            "telephone_number": "810-691-4816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8332 OFFICE PARK DR",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "48439",
            "telephone_number": "810-691-4816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN REJUVINATION CENTER OF AMERICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-24",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "LEGROW",
        "authorized_official_first_name": "PAGI",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "810-691-4816"
    },
    "taxonomies": [
        {
            "code": "2084B0040X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cerveau Neuro Spa",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Frances Michelle Bowling, APRN
• Alexander Joseph Boyer
• Christopher Alan Boyer, RPH
• Jordan Thomas Bozzo
• Lindsay Bragiel, M.S., PA-C
• Lisa Brambert, DO
• Daniel Brancheau, D.O.
• Megan Brandon
• Timothy Dale Branigin, MD
• Larry Braver, D.O.

• Behavioral Neurology & Neuropsychiatry Physician in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Behavioral Neurology & Neuropsychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.