Organization Active NPI

Comprehensive Clinical Neurology

  • Specialist
  • Southfield, MI
National Provider Identifier
1649651332
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
4301050339 Issued in MI
Legal business name
COMPREHENSIVE CLINICAL NEUROLOGY
Practice address
28075 Ranchwood Dr
Southfield, MI 48076-2401
Phone
(248) 559-8737
Fax
(248) 559-7283
NPI assigned
Jun 18, 2015
Last updated
May 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Authorized official

Name
Dr. David L. Gaston, MD
Title
Physician/President
Phone
(248) 559-8737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 4301050339 MI Primary

Addresses

Primary practice location

28075 Ranchwood Dr
Southfield, MI 48076-2401

Mailing address

28075 Ranchwood Dr
Southfield, MI 48076-2401
Phone (248) 559-8737

Other names 1

  • comprehensive clinical neurology Other name

National Provider Directory

National Provider Directory
Tax ID family
Comprehensive Clinical Neurology2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

23077 Greenfield Rd
Ste 222
Southfield, MI 48075
Phone (248) 559-8737

Practitioners & affiliated clinicians

Practitioners 1

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": "1434585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684972800000",
    "number": "1649651332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28075 RANCHWOOD DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762401",
            "telephone_number": "248-559-8737",
            "fax_number": "248-559-7283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28075 RANCHWOOD DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762401",
            "telephone_number": "248-559-8737",
            "fax_number": "248-559-7283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE CLINICAL NEUROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-18",
        "last_updated": "2023-05-25",
        "certification_date": "2022-12-22",
        "status": "A",
        "authorized_official_last_name": "GASTON",
        "authorized_official_first_name": "DAVID L.",
        "authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
        "authorized_official_telephone_number": "248-559-8737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301050339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "comprehensive clinical neurology",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; 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.