Brookside Health Center, P.C.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

BROOKSIDE HEALTH CENTER, P.C.

Practice address

8790 Telegraph Rd
Taylor, MI 48180-2491

Phone

(313) 295-2520

Fax

(313) 581-0228

NPI assigned

Jul 9, 2006

Last updated

Jan 16, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark B Saffer, DPM

Title

Ceo

Phone

(313) 291-2520

Specialties & licenses 5

Addresses

Other identifiers 6

Tax ID family

Brookside Health Center PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Brookside Health Center P.C.

  • Foot & Ankle Surgery Podiatrist
  • Taylor, MI
  • NPI 1952587149
  NPD tax ID
• Brookside Health Center PC

  • Rheumatology Physician
  • Taylor, MI
  • NPI 1407033848
  NPD tax ID

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200441600000",
    "number": "1437182557",
    "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": "313-581-0228"
        },
        {
            "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": "313-581-0228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKSIDE HEALTH CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2008-01-16",
        "status": "A",
        "authorized_official_last_name": "SAFFER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-291-2520",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4591234",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0Q26079",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4192187",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4456777",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3078099",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4182654",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brighter Smiles, Inc.
• Wedyan Naseer Brikho, DDS
• Megan Brook, OTD
• Brookside Health Center P.C.
• Brookside Health Center PC
• Bradley Joseph Brow, DMD
• Angelique Jequinta Brown
• Brianna A Brown
• Pamela Jane Brown
• Aaron Brumbaugh, DPT

• General Practice Physician in Taylor, MI
• Providers in Taylor, MI by specialty
• General Practice Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.

Verify at the official NPI Registry.