Organization Active NPI

Brenda Rogers Grays DO PC

  • Family Medicine Physician
  • Flint, MI
National Provider Identifier
1245269125
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101008664 Issued in MI
Legal business name
BRENDA ROGERS GRAYS DO PC
Practice address
1134 S Linden Rd
Suite 6
Flint, MI 48532-3455
Phone
(810) 732-5555
Fax
(810) 732-1155
NPI assigned
Jul 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Brenda Rogers-Grays, D.O.
Title
Owner
Phone
(810) 732-5555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 5101008664 MI Primary

Addresses

Primary practice location

1134 S Linden Rd
Suite 6
Flint, MI 48532-3455

Mailing address

PO Box 33738
Dept 999358
Detroit, MI 48232-3738
Phone (810) 732-5555

Other identifiers 2

IdentifierTypeStateIssuer
5101008664OtherMILICENSE
5101008664OtherCONTROLLED SUBSTANCE

National Provider Directory

National Provider Directory

Locations

1134 S Linden Rd
Ste 6
Flint, MI 48532
Phone (810) 732-5555

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1245269125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33738",
            "address_2": "DEPT 999358",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482323738",
            "telephone_number": "810-732-5555",
            "fax_number": "810-732-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1134 S LINDEN RD",
            "address_2": "SUITE 6",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323455",
            "telephone_number": "810-732-5555",
            "fax_number": "810-732-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENDA ROGERS GRAYS DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "ROGERS-GRAYS",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-732-5555",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101008664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "5101008664",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED SUBSTANCE",
            "identifier": "5101008664",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.