Brightmoor Medical Center

Primary specialty

Hospice and Palliative Medicine (Obstetrics & Gynecology) PhysicianTaxonomy code 207VH0002X

License

4301038348 Issued in MI

Legal business name

BRIGHTMOOR MEDICAL CENTER

Practice address

20510 Fenkell Road
Detroit, MI 48223-1613

Phone

(313) 534-6611

Fax

(313) 534-2525

NPI assigned

Apr 26, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Alex Pickens III

Title

Director of Development

Phone

(313) 534-6611

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315353600000",
    "number": "1649490558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20510 FENKELL ST",
            "address_2": "PO BOX 23035",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482231613",
            "telephone_number": "313-534-6611",
            "fax_number": "313-534-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20510 FENKELL ROAD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482231613",
            "telephone_number": "313-534-6611",
            "fax_number": "313-534-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTMOOR MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2011-09-07",
        "status": "A",
        "authorized_official_last_name": "PICKENS",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "DIRECTOR OF DEVELOPMENT",
        "authorized_official_telephone_number": "313-534-6611",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "207VH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Hospice and Palliative Medicine",
            "state": "MI",
            "license": "4301038348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanija Bright
• Tori-Ann Symone Bright, LMSW
• Brighten Quality Health Care
• Brighter Futures for Moms and Babies
• Brighter Haven Inc.
• Salar Mokhlis Brikho, MD
• John Joseph Briles, M.D.
• Anthony Joseph Brilla Jr., REGISTERED NURSE
• Fritz Y Brillantes
• Shemaine Rose Patricio Brillantes, REGISTERED NURSE

• Obstetrics & Gynecology Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Obstetrics & Gynecology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; 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.