Organization Active NPI

Brajak Chiropractic Clinic PLLC

Doing business as Advantage Family Chiropractic

  • Chiropractor
  • Brighton, MI
National Provider Identifier
1528005915
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BRAJAK CHIROPRACTIC CLINIC PLLC
Doing business as
Advantage Family Chiropractic
Practice address
8023 Grand River Rd
Suite 600
Brighton, MI 48114-9392
Phone
(810) 494-9300
Fax
(810) 494-9320
NPI assigned
Jun 2, 2006
Last updated
Aug 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Authorized official

Name
Dr. Vladimir J Brajak, DCNPI 1801845052
Title
Owner/Chiropractor
Phone
(810) 494-9300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

8023 Grand River Rd
Suite 600
Brighton, MI 48114-9392

Mailing address

8023 Grand River Rd
Suite 600
Brighton, MI 48114-9392
Phone (810) 494-9300

Other identifiers 2

IdentifierTypeStateIssuer
0D71119OtherMIBLUE CROSS BLUE SHIELD PIN
0007024587OtherMIAETNA PIN

Other names 1

  • Advantage Family Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

8023 Grand River Rd
Ste 600
Brighton, MI 48114
Phone (810) 229-4179

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1528005915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8023 GRAND RIVER RD",
            "address_2": "SUITE 600",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481149392",
            "telephone_number": "810-494-9300",
            "fax_number": "810-494-9320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8023 GRAND RIVER RD",
            "address_2": "SUITE 600",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481149392",
            "telephone_number": "810-494-9300",
            "fax_number": "810-494-9320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAJAK CHIROPRACTIC CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "BRAJAK",
        "authorized_official_first_name": "VLADIMIR",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "810-494-9300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD PIN",
            "identifier": "0D71119",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN",
            "identifier": "0007024587",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advantage Family Chiropractic",
            "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 17, 2018; 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.