Morang Chester Clinic P C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101007774 Issued in MI

Legal business name

MORANG CHESTER CLINIC P C

Practice address

17520 Chester St
Detroit, MI 48224-1212

Phone

(313) 884-0900

Fax

(313) 884-8062

NPI assigned

Feb 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Barry Braver, D.O.NPI 1275592412

Title

President

Phone

(313) 884-0900

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

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

• Barry Braver, D.O.

  • General Practice Physician
  • Detroit, MI
  • NPI 1275592412
  Medicare reassignment Care Compare group Authorized official
• Tzvi Braver, D.O.

  • Family Medicine Physician
  • Detroit, MI
  • NPI 1083807176
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732665600000",
    "number": "1497895106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17520 CHESTER ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482241212",
            "telephone_number": "313-884-0900",
            "fax_number": "313-884-8062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17520 CHESTER ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482241212",
            "telephone_number": "313-884-0900",
            "fax_number": "313-884-8062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORANG CHESTER CLINIC P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A",
        "authorized_official_last_name": "BRAVER",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-884-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101007774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM PIN",
            "identifier": "0188200304",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2808979",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Krunal Moradiya, DO
• Madison Moralee
• Princetta Cozette Morales, MSN RN ACNS-BC
• Dylan Starr Moran, MD
• Laura Moran
• Laronda Joyce Morant, LLBSW
• Nalo Morant, LMSW
• Doria Faith Morante
• Aida Damaris Morar
• Cara Morasso

• Family Medicine Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; 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.