Organization Active NPI

Preventive Care Center PLC

  • General Practice Physician
  • Flint, MI
National Provider Identifier
1700214756
Registry record updated Oct 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
PREVENTIVE CARE CENTER PLC
Practice address
2284 S Ballenger Hwy
Ste H
Flint, MI 48503-3446
Phone
(810) 233-5211
Fax
(810) 233-5740
NPI assigned
Oct 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2013

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

Authorized official

Name
Seth R Bernard, D.O.
Title
Member
Phone
(810) 233-5211

Specialties & licenses 1

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

Addresses

Primary practice location

2284 S Ballenger Hwy
Ste H
Flint, MI 48503-3446

Mailing address

2284 S Ballenger Hwy
Ste H
Flint, MI 48503-3446
Phone (810) 233-5211

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1700214756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2284 S BALLENGER HWY",
            "address_2": "STE H",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485033446",
            "telephone_number": "810-233-5211",
            "fax_number": "810-233-5740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2284 S BALLENGER HWY",
            "address_2": "STE H",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485033446",
            "telephone_number": "810-233-5211",
            "fax_number": "810-233-5740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVENTIVE CARE CENTER PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "BERNARD",
        "authorized_official_first_name": "SETH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "810-233-5211",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 29, 2013; 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.