NPIMap

Organization Active NPI

Genesys Health Enterprises

  • General Practice Physician
  • Flint, MI
National Provider Identifier
1629289244
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
GENESYS HEALTH ENTERPRISES
Practice address
3909 Beecher Rd
Flint, MI 48532-3602
Phone
(810) 762-3662
NPI assigned
May 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Mr. Larry D Brothers
Title
President
Phone
(810) 762-3662

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208D00000X MI Primary

Addresses

Primary practice location

3909 Beecher Rd
Flint, MI 48532-3602

Mailing address

3909 Beecher Rd
Flint, MI 48532-3602
Phone (810) 762-3662

Other identifiers 4

IdentifierTypeStateIssuer
470B51484OtherMIBCN
0373650001OtherMIHAP
700B514490OtherMIBCBS
0999849OtherMIHEALTHPLUS

National Provider Directory

National Provider Directory

Locations

Dept CH 17796
Palatine, IL 60055

Practitioners & affiliated clinicians

Practitioners 7

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": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1629289244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3909 BEECHER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323602",
            "telephone_number": "810-762-3662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3909 BEECHER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323602",
            "telephone_number": "810-762-3662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESYS HEALTH ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "BROTHERS",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-762-3662",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN",
            "identifier": "470B51484",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP",
            "identifier": "0373650001",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "700B514490",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPLUS",
            "identifier": "0999849",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.