Individual provider Active NPI

Vladimir Josip Brajak, DC

  • Chiropractor
  • Brighton, MI
National Provider Identifier
1801845052
Registry record updated Jul 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
VB007472 Issued in MI
Practice address
8023 Grand River Rd
Suite 600
Brighton, MI 48114-9392
Phone
(810) 494-9300
Fax
(810) 494-9320
NPI assigned
May 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X VB007472 MI Primary

Addresses

Primary practice location

8023 Grand River Rd
Suite 600
Brighton, MI 48114-9392

Mailing address

38254 Charwood Dr
Sterling Heights, MI 48312-1225
Phone (586) 939-5742

Other identifiers 5

IdentifierTypeStateIssuer
U67930OtherMICIGNA
950E053640OtherMIBCBS
03-0585041OtherMIPPOM
U67930OtherMIHAP
7282762OtherMIAETNA

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

State licenses

LicenseStateTypeSpecialty
VB007472MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
William F Goss DC I PLLC Chiropractor PastSince Jul 20, 2016 Accepting new patients
Butzin, Matoshko & Associates Chiropractor Past Accepting new patients
Chiropractic Wellness Group PLLC Chiropractor PastSince Feb 1, 2007 Accepting new patients
Butzin, Matoshko & Associates Chiropractic Clinics PLLC Chiropractor PastSince Jan 21, 2002 Accepting new patients
CRK Chiropractic PLLC Chiropractor Past Accepting new patients
Clements Chiropractic Clinic, Inc. Chiropractor PastSince Oct 4, 2006 Accepting new patients

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280102400000",
    "number": "1801845052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38254 CHARWOOD DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483121225",
            "telephone_number": "586-939-5742",
            "fax_number": "586-939-5742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8023 GRAND RIVER RD",
            "address_2": "SUITE 600",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481149392",
            "telephone_number": "810-494-9300",
            "fax_number": "810-494-9320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAJAK",
        "first_name": "VLADIMIR",
        "middle_name": "JOSIP",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2010-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "VB007472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "U67930",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "950E053640",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPOM",
            "identifier": "03-0585041",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP",
            "identifier": "U67930",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7282762",
            "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 Jul 26, 2010; 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.