Michigan Spine &Brain Surgery PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

VP Issued in MI

Legal business name

MICHIGAN SPINE &BRAIN SURGERY PLLC

Practice address

G3239 Beecher Rd
Flint, MI 48532-3616

Phone

(810) 733-7560

Fax

(810) 733-0190

NPI assigned

Apr 13, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Vivekanand Palavali, MD

Title

Owner

Phone

(810) 733-7560

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1334275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334275200000",
    "number": "1275890352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "G3239 BEECHER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323616",
            "telephone_number": "810-733-7560",
            "fax_number": "810-733-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G3239 BEECHER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323616",
            "telephone_number": "810-733-7560",
            "fax_number": "810-733-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN SPINE &BRAIN SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-13",
        "last_updated": "2012-04-13",
        "status": "A",
        "authorized_official_last_name": "PALAVALI",
        "authorized_official_first_name": "VIVEKANAND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-733-7560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "VP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michigan Physical Therapy Associates
• Michigan School for the Deaf
• Michigan Sleep Society (Michigan Sleep Specialists, LLC)
• Michigan Sleep Society & Research Center, LLC
• Michigan Sleep Specialists
• Michigan Spine and Brain Surgery PLLC
• Michigan Spine Brain and Spine Institute
• Michigan Vision Institute PLLC (Michigan Vision Institute)
• Michigan Visiting Physicians (Great Lakes Portable Diagnostics)
• Mid Michigan Diagnostic Corp

• Specialist in Flint, MI
• Providers in Flint, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2012; 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.