Active NPI
Comprehensive Clinical Neurology
- Specialist
- Southfield, MI
National Provider Identifier
1649651332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 4301050339
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Tax ID family
- Comprehensive Clinical Neurology
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Neurology Physician
- Southfield, MI
- NPI 1891936977
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.
-
- Neurology Physician
- Southfield, MI
- NPI 1811000227
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
- Complete Clarity LLC
- Complete Hospice Care, LLC (Complete Hospice Care)
- Complete Recovery Physical Therapy LLC
- Comprehensive Administrative Management Solutions LLC
- Comprehensive Anesthesia & Perioperative Services, Inc.
- Comprehensive Clinical Neurology P.C.
- Comprehensive Health Access Resource of Michigan
- Comprehensive Neuropsychology, PLLC
- Comprehensive Oral Healthcare PC
- Comprehensive Physical Therapy, Inc.
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.