Michigan Spine and Brain Surgery PLLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

VP065576 Issued in MI

Legal business name

MICHIGAN SPINE AND BRAIN SURGERY PLLC

Practice address

G3239 Beecher Rd
Flint, MI 48532-3616

Phone

(810) 733-7560

NPI assigned

Aug 25, 2014

Last updated

Aug 25, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Vivekanand Palavali, MD

Title

Owner

Phone

(810) 733-6430

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408924800000",
    "number": "1548660848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "G3239 BEECHER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323616",
            "telephone_number": "810-733-7560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G3239 BEECHER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323616",
            "telephone_number": "810-733-7560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN SPINE AND BRAIN SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-25",
        "last_updated": "2014-08-25",
        "status": "A",
        "authorized_official_last_name": "PALAVALI",
        "authorized_official_first_name": "VIVEKANAND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-733-6430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MI",
            "license": "VP065576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michigan School for the Deaf
• Michigan Sleep Society (Michigan Sleep Specialists, LLC)
• Michigan Sleep Society & Research Center, LLC
• Michigan Sleep Specialists
• Michigan Spine &Brain Surgery PLLC
• Michigan Spine Brain and Spine Institute
• Michigan Vision Institute PLLC (Michigan Vision Institute)
• Michigan Visiting Physicians (Great Lakes Portable Diagnostics)
• Mid Michigan Diagnostic Corp
• Mid Michigan Diagnostic Corp

• Medical Specialty Clinic/Center in Flint, MI
• Providers in Flint, MI by specialty
• Medical Specialty Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; 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.