Individual provider Active NPI

Rainna Marie Furnari-Brazil, D.O.

  • Pain Medicine Physician
  • Southfield, MI
National Provider Identifier
1861489429
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
5101012438 Issued in MI
Practice address
20905 Greenfield Rd Ste 200
Southfield, MI 48075-5346
Phone
(248) 327-7212
NPI assigned
Sep 29, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X 5101012438 MI Primary
Obstetrics & Gynecology Physician 207V00000X 5101012438 MI

Addresses

Primary practice location

20905 Greenfield Rd Ste 200
Southfield, MI 48075-5346

Mailing address

20905 Greenfield Rd Ste 200
Southfield, MI 48075-5346
Phone (248) 327-7212

Other practice location 1

31100 Telegraph Rd Ste 240
Bingham Farms, MI 48025-4347
Phone (248) 290-0390

Other practice location 2

4700 Schaefer Rd
Dearborn, MI 48123-3698
Phone (313) 581-2600

Other identifiers 1

IdentifierTypeStateIssuer
4242411MedicaidMI

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)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

NPI Registry JSON

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1861489429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20905 GREENFIELD RD STE 200",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755346",
            "telephone_number": "248-327-7212",
            "fax_number": "248-728-4195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20905 GREENFIELD RD STE 200",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755346",
            "telephone_number": "248-327-7212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31100 Telegraph Rd Ste 240",
            "address_purpose": "LOCATION",
            "city": "Bingham Farms",
            "state": "MI",
            "postal_code": "480254347",
            "country_code": "US",
            "telephone_number": "248-290-0390",
            "fax_number": "248-290-0359",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4700 Schaefer Rd",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481233698",
            "country_code": "US",
            "telephone_number": "313-581-2600",
            "fax_number": "313-581-0228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FURNARI-BRAZIL",
        "first_name": "RAINNA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-29",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "MI",
            "license": "5101012438",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "5101012438",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4242411",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; 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.