Organization Active NPI

Bipin Desai MD

  • Pediatrics Physician
  • Brighton, MI
National Provider Identifier
1467828343
Registry record updated Aug 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
BIPIN DESAI MD
Practice address
136 Kissane Ave
Brighton, MI 48116-2467
Phone
(810) 229-7337
Fax
(810) 229-6601
NPI assigned
Aug 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2015

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

Authorized official

Name
Bipin Desai, M.D.NPI 1669412599
Title
Chief Pediatrician
Phone
(810) 229-7337

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary
Pediatric Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0200X

Addresses

Primary practice location

136 Kissane Ave
Brighton, MI 48116-2467

Mailing address

136 Kissane Ave
Brighton, MI 48116-2467
Phone (810) 229-7337

Other names 1

  • Livingston Pediatric Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0716928Bipin P Desai MD136 Kissane Suite a, Brighton, MI 48116Certificate of waiverMar 13, 2028

National Provider Directory

National Provider Directory

Locations

136 Kissane Ave
Brighton, MI 48116
Phone (810) 225-2331

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1439510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439510400000",
    "number": "1467828343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 KISSANE AVE",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481162467",
            "telephone_number": "810-229-7337",
            "fax_number": "810-229-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 KISSANE AVE",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481162467",
            "telephone_number": "810-229-7337",
            "fax_number": "810-229-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIPIN DESAI MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-14",
        "last_updated": "2015-08-14",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "BIPIN",
        "authorized_official_title_or_position": "CHIEF PEDIATRICIAN",
        "authorized_official_telephone_number": "810-229-7337",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Livingston Pediatric Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brighton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.