Organization Active NPI

R C Brillantes M D P L L C

  • Specialist
  • Jackson, MI
National Provider Identifier
1396051892
Registry record updated Nov 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
RB032396 Issued in MI
Legal business name
R C BRILLANTES M D P L L C
Practice address
426 N Jackson St
Jackson, MI 49201-1235
Phone
(517) 788-6446
Fax
(517) 788-9035
NPI assigned
Aug 23, 2010
Last updated
Nov 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2010

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

Authorized official

Name
Dr. Rafael C. Brillantes, M.D.NPI 1932197324
Title
Owner
Phone
(517) 788-6446

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X RB032396 MI Primary

Addresses

Primary practice location

426 N Jackson St
Jackson, MI 49201-1235

Mailing address

426 N Jackson St
Jackson, MI 49201-1235
Phone (517) 788-6446

National Provider Directory

National Provider Directory

Locations

426 N Jackson St
Jackson, MI 49201
Phone (517) 788-6336

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1282521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289779200000",
    "number": "1396051892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 N JACKSON ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011235",
            "telephone_number": "517-788-6446",
            "fax_number": "517-788-9035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 N JACKSON ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011235",
            "telephone_number": "517-788-6446",
            "fax_number": "517-788-9035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R C BRILLANTES M D P L L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-23",
        "last_updated": "2010-11-15",
        "status": "A",
        "authorized_official_last_name": "BRILLANTES",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-788-6446",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "RB032396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2010; 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.