Active NPI
Centre for Family Medicine P.C.
- Family Medicine Physician
- Jackson, MI
National Provider Identifier
1538183181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- CENTRE FOR FAMILY MEDICINE P.C.
- Practice address
- 1401 W North St
Jackson, MI 49202-3135 - Phone
- (517) 782-2555
- Fax
- (517) 782-3399
- NPI assigned
- Jul 27, 2006
- Last updated
- Aug 22, 2020
- 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. Brian A Adamczyk, M.D.
- Title
- President
- Phone
- (517) 782-2555
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1401 W North St
Jackson, MI 49202-3135
Mailing address
1401 W North St
Jackson, MI 49202-3135
Phone (517) 782-2555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080C86052 | Other | MI | BCBSM |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
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.
-
- Family Medicine Physician
- Jackson, MI
- NPI 1205856390
-
- Family Medicine Physician
- Jackson, MI
- NPI 1528088614
-
- Family Medicine Physician
- Jackson, MI
- NPI 1467472555
-
- Family Medicine Physician
- Jackson, MI
- NPI 1699795781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1538183181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 W NORTH ST",
"city": "JACKSON",
"state": "MI",
"postal_code": "492023135",
"telephone_number": "517-782-2555",
"fax_number": "517-782-3399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 W NORTH ST",
"city": "JACKSON",
"state": "MI",
"postal_code": "492023135",
"telephone_number": "517-782-2555",
"fax_number": "517-782-3399"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRE FOR FAMILY MEDICINE P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-27",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ADAMCZYK",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "517-782-2555",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "080C86052",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.