Active NPI
Brookside Health Center PC
- Rheumatology Physician
- Taylor, MI
National Provider Identifier
1407033848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- Legal business name
- BROOKSIDE HEALTH CENTER PC
- Practice address
- 8790 Telegraph Rd
Taylor, MI 48180-2491 - Phone
- (313) 295-2520
- Fax
- (313) 295-7310
- NPI assigned
- Jan 29, 2008
- 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
- Saffer B Saffer
- Title
- Ceo
- Phone
- (313) 581-2600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | Primary |
Addresses
Primary practice location
8790 Telegraph Rd
Taylor, MI 48180-2491
Mailing address
8790 Telegraph Rd
Taylor, MI 48180-2491
Phone (313) 295-2520
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0H20218 | Other | MI | BCBSM |
National Provider Directory
National Provider Directory- Tax ID family
- Brookside Health Center PC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Foot & Ankle Surgery Podiatrist
- Taylor, MI
- NPI 1952587149
-
- General Practice Physician
- Taylor, MI
- NPI 1437182557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201564800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1201651200000",
"number": "1407033848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8790 TELEGRAPH RD",
"city": "TAYLOR",
"state": "MI",
"postal_code": "481802491",
"telephone_number": "313-295-2520",
"fax_number": "313-295-7310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8790 TELEGRAPH RD",
"city": "TAYLOR",
"state": "MI",
"postal_code": "481802491",
"telephone_number": "313-295-2520",
"fax_number": "313-295-7310"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROOKSIDE HEALTH CENTER PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-29",
"last_updated": "2008-01-30",
"status": "A",
"authorized_official_last_name": "SAFFER",
"authorized_official_first_name": "SAFFER",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "313-581-2600"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "0H20218",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Taylor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.