Active NPI
R C Brillantes M D P L L C
- Specialist
- Jackson, MI
National Provider Identifier
1396051892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- RB032396
- 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, 2010
- Organization subpart
- No
NPPES NPI Registry
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Internal Medicine Physician
- Jackson, MI
- NPI 1932197324
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.