Organization Active NPI

Sandra Brown M.D.,P.C.

  • Health Maintenance Organization
  • Southfield, MI
National Provider Identifier
1255459160
Registry record updated Feb 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
4301045361 Issued in MI
Legal business name
SANDRA BROWN M.D.,P.C.
Practice address
23077 Greenfield Rd
Suite #235
Southfield, MI 48075-3709
Phone
(248) 557-1414
Fax
(248) 557-2708
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2015

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

Authorized official

Name
Dr. Sandra Eileen Brown, M.D.
Title
Physican
Phone
(248) 557-1414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 4301045361 MI Primary

Addresses

Primary practice location

23077 Greenfield Rd
Suite #235
Southfield, MI 48075-3709

Mailing address

23077 Greenfield Rd
Suite #235
Southfield, MI 48075-3709
Phone (248) 557-1414

National Provider Directory

National Provider Directory

Locations

23077 Greenfield Rd
Ste 235
Southfield, MI 48075
Phone (248) 557-1414

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423008000000",
    "number": "1255459160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23077 GREENFIELD RD",
            "address_2": "SUITE #235",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753709",
            "telephone_number": "248-557-1414",
            "fax_number": "248-557-2708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23077 GREENFIELD RD",
            "address_2": "SUITE #235",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753709",
            "telephone_number": "248-557-1414",
            "fax_number": "248-557-2708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA BROWN M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2015-02-04",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "EILEEN",
        "authorized_official_title_or_position": "PHYSICAN",
        "authorized_official_telephone_number": "248-557-1414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "MI",
            "license": "4301045361",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 4, 2015; 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.