Organization Active NPI

Professional Patient Care PC

  • General Practice Physician
  • Detroit, MI
National Provider Identifier
1740683176
Registry record updated Oct 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
PROFESSIONAL PATIENT CARE PC
Practice address
901 W Grand Blvd
Suite 101
Detroit, MI 48208-2353
Phone
(313) 894-1500
Fax
(313) 894-1501
NPI assigned
Sep 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2015

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

Authorized official

Name
Meiuttenun Brown, M.D
Title
Ceo
Phone
(586) 275-2028

Specialties & licenses 1

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

Addresses

Primary practice location

901 W Grand Blvd
Suite 101
Detroit, MI 48208-2353

Mailing address

901 W Grand Blvd
Suite 101
Detroit, MI 48208-2353
Phone (313) 894-1500

National Provider Directory

National Provider Directory

Locations

901 W Grand Blvd
Ste 101
Detroit, MI 48208
Phone (313) 393-3141

31201 Chicago Rd S
Ste C20
Warren, MI 48093
Phone (586) 275-2028

NPI Registry JSON

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

{
    "created_epoch": "1412035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445817600000",
    "number": "1740683176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 W GRAND BLVD",
            "address_2": "SUITE 101",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482082353",
            "telephone_number": "313-894-1500",
            "fax_number": "313-894-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W GRAND BLVD",
            "address_2": "SUITE 101",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482082353",
            "telephone_number": "313-894-1500",
            "fax_number": "313-894-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL PATIENT CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-30",
        "last_updated": "2015-10-26",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MEIUTTENUN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "586-275-2028",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; 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.