Active NPI
Brenda L. Moskovitz, M.D. PC
- Gynecology Physician
- Troy, MI
National Provider Identifier
1790886554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- Legal business name
- BRENDA L. MOSKOVITZ, M.D. PC
- Practice address
- 415 E Maple Rd
Suite 101
Troy, MI 48083-2720 - Phone
- (248) 524-1001
- Fax
- (248) 528-2533
- NPI assigned
- Sep 26, 2006
- 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. Brenda L. Moskovitz, M.D. PC
- Title
- Dr.
- Phone
- (248) 524-1001
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | Primary |
Addresses
Primary practice location
415 E Maple Rd
Suite 101
Troy, MI 48083-2720
Mailing address
415 E Maple Rd
Suite 101
Troy, MI 48083-2720
Phone (248) 524-1001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1606331342 | Other | MI | BCBS ID# |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Reproductive Endocrinology Physician
- Bloomfield Hills, MI
- NPI 1568455970
Gynecology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1415750400000",
"number": "1790886554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 E MAPLE RD",
"address_2": "SUITE 101",
"city": "TROY",
"state": "MI",
"postal_code": "480832720",
"telephone_number": "248-524-1001",
"fax_number": "248-528-2533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 E MAPLE RD",
"address_2": "SUITE 101",
"city": "TROY",
"state": "MI",
"postal_code": "480832720",
"telephone_number": "248-524-1001",
"fax_number": "248-528-2533"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRENDA L. MOSKOVITZ, M.D. PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-26",
"last_updated": "2014-11-12",
"status": "A",
"authorized_official_last_name": "MOSKOVITZ",
"authorized_official_first_name": "BRENDA",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "DR.",
"authorized_official_telephone_number": "248-524-1001",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D. PC"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS ID#",
"identifier": "1606331342",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.