Active NPI
David M Chernin, M. D.
- Internal Medicine Physician
- Brighton, MI
National Provider Identifier
1659314870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 039635
- Practice address
- 2305 Genoa Business Park Dr
Suite 120
Brighton, MI 48114-7004 - Phone
- (810) 494-6800
- Fax
- (810) 229-4990
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 039635 | MI | Primary |
Addresses
Primary practice location
2305 Genoa Business Park Dr
Suite 120
Brighton, MI 48114-7004
Mailing address
2305 Genoa Business Park Dr
Suite 120
Brighton, MI 48114
Phone (810) 494-6800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4159979 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 039635 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozarks Medical Center | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354924800000",
"number": "1659314870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2305 GENOA BUSINESS PARK DR",
"address_2": "SUITE 120",
"city": "BRIGHTON",
"state": "MI",
"postal_code": "48114",
"telephone_number": "810-494-6800",
"fax_number": "810-229-4990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2305 GENOA BUSINESS PARK DR",
"address_2": "SUITE 120",
"city": "BRIGHTON",
"state": "MI",
"postal_code": "481147004",
"telephone_number": "810-494-6800",
"fax_number": "810-229-4990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHERNIN",
"first_name": "DAVID",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2012-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "039635",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4159979",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brighton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.