NPIMap

Organization Active NPI

Indira Brar MD PC

  • Internal Medicine Physician
  • Commerce TWP, MI
National Provider Identifier
1487037735
Registry record updated Jul 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301073016 Issued in MI
Legal business name
INDIRA BRAR MD PC
Practice address
1990 Union Lake Rd
Ste 100
Commerce TWP, MI 48382-2202
Phone
(248) 363-7109
Fax
(248) 363-7211
NPI assigned
Jul 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2015

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

Authorized official

Name
Kellie Swartz, BILLER
Title
Owner
Phone
(989) 791-2455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 4301073016 MI Primary

Addresses

Primary practice location

1990 Union Lake Rd
Ste 100
Commerce TWP, MI 48382-2202

Mailing address

3061 Christy Way
Saginaw, MI 48603-2224
Phone (989) 791-2455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150730012763 MI Part B Supplier - Clinic/Group Practice 4981918281 Receives reassigned benefits from 6 practitioners
Practice locations: Commerce Township, MI

National Provider Directory

National Provider Directory

Locations

1990 Union Lake Rd
Commerce Twp, MI 48382
Phone (248) 363-7109

Practitioners & affiliated clinicians

Practitioners 6

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": "1436140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436140800000",
    "number": "1487037735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3061 CHRISTY WAY",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486032224",
            "telephone_number": "989-791-2455",
            "fax_number": "989-791-1392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 UNION LAKE RD",
            "address_2": "STE 100",
            "city": "COMMERCE TWP",
            "state": "MI",
            "postal_code": "483822202",
            "telephone_number": "248-363-7109",
            "fax_number": "248-363-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIRA BRAR MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-06",
        "last_updated": "2015-07-06",
        "status": "A",
        "authorized_official_last_name": "SWARTZ",
        "authorized_official_first_name": "KELLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-791-2455",
        "authorized_official_credential": "BILLER"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301073016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.