Active NPI
Longevity Wellness Group, PLLC
- Health Service Clinic/Center
- West Bloomfield, MI
National Provider Identifier
1487597415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- LONGEVITY WELLNESS GROUP, PLLC
- Doing business as
- Revive Longevity
- Practice address
- 7479 Middlebelt Rd Ste 3
West Bloomfield, MI 48322-4175 - Phone
- (248) 387-9414
- NPI assigned
- Apr 13, 2026
- 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. Brandon Hana, DO
- Title
- Owner
- Phone
- (248) 228-4598
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
7479 Middlebelt Rd Ste 3
West Bloomfield, MI 48322-4175
Mailing address
7479 Middlebelt Rd Ste 3
West Bloomfield, MI 48322-4175
Phone (248) 387-9414
Other names 1
- Revive Longevity
National Provider Directory
National Provider DirectoryLocations
7479 Middlebelt Rd
Ste 3
West Bloomfield, MI 48322
Phone (248) 387-9414
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Emergency Medicine Physician
- Garden City, MI
- NPI 1346816774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776038400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776038400000",
"number": "1487597415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7479 MIDDLEBELT RD STE 3",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483224175",
"telephone_number": "248-387-9414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7479 MIDDLEBELT RD STE 3",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483224175",
"telephone_number": "248-387-9414"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LONGEVITY WELLNESS GROUP, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-13",
"last_updated": "2026-04-13",
"certification_date": "2026-04-13",
"status": "A",
"authorized_official_last_name": "HANA",
"authorized_official_first_name": "BRANDON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "248-228-4598",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Revive Longevity",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in West Bloomfield, MI
- Live and Grow Counseling, LLC
- Lkes Urgent Care
- Gabrielle Marie Loche
- Baylee Renee Locklear, MA., BCBA, LBA
- Kevin Christopher Lombardi, PTA
- Valerie Lopez, BCBA, MA, LBA
- Robert Lorenz
- Louis Dvorkin, PH.D. P.C.
- Robert Thomas Louis-Ferdinand Jr., APRN, AGPCNP-BC
- Stephanie Marie Lousia Weinberger, P.A.-C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.