Organization Active NPI

Michael M. Brand, M.D.,P.a.

  • Neurology Physician
  • Belleville, NJ
National Provider Identifier
1578710695
Registry record updated May 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MA22361 Issued in NJ
Legal business name
MICHAEL M. BRAND, M.D.,P.A.
Practice address
5 Franklin Ave.
Suite 307
Belleville, NJ 07109
Phone
(973) 751-5644
Fax
(973) 751-5678
NPI assigned
Aug 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2010

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

Authorized official

Name
Michael M. Brand, M.D
Title
Physician
Phone
(973) 751-5644

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X MA22361 NJ Primary

Addresses

Primary practice location

5 Franklin Ave.
Suite 307
Belleville, NJ 07109

Mailing address

5 Franklin Ave.
Suite 307
Belleville, NJ 07109
Phone (973) 751-5644

Other identifiers 1

IdentifierTypeStateIssuer
2738201MedicaidNJ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272844800000",
    "number": "1578710695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 FRANKLIN AVE.",
            "address_2": "SUITE 307",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "07109",
            "telephone_number": "973-751-5644",
            "fax_number": "973-751-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 FRANKLIN AVE.",
            "address_2": "SUITE 307",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "07109",
            "telephone_number": "973-751-5644",
            "fax_number": "973-751-5678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL M. BRAND, M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-20",
        "last_updated": "2010-05-03",
        "status": "A",
        "authorized_official_last_name": "BRAND",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "973-751-5644",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "MA22361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2738201",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2010; 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.