Active NPI
Brenda A Rogers-Grays, DO
- Family Medicine Physician
- Flint, MI
National Provider Identifier
1902895170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101008664
- Practice address
- 1134 S Linden Rd Ste 6 BLDG C
Flint, MI 48532-3455 - Phone
- (810) 732-5555
- Fax
- (810) 732-1155
- NPI assigned
- Oct 19, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101008664 | MI | Primary |
Addresses
Primary practice location
1134 S Linden Rd Ste 6 BLDG C
Flint, MI 48532-3455
Mailing address
1134 S Linden Rd Ste 6 BLDG C
Flint, MI 48532-3455
Phone (810) 732-5555
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0852502844 | Other | MI | BLUE CROSS BLUE SHIELD |
| 0852502845 | Other | MI | HEALTH PLUS |
| 4232634001 | Other | MA | CIGNA |
| 204390 | Other | MI | HEALTH ADVANTAGE NETWORK |
| 4073621 | Other | MI | AETNA |
| CD3610/P00064642 | Other | MI | METRAHEALTH |
| F00557 | Other | MI | HEALTH ALLIANCE PLAN |
| 080D410020 | Other | MI | BLUE CARE NETWORK |
| 204390 | Other | MI | MCLAREN HEATLH PLAN |
| 4542857 | Medicaid | MI | |
| C2595 | Other | MI | MCARE |
| F00557 | Other | MI | HEALTH NET FEDERAL |
| 080D410020 | Other | MI | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060727000344 | MI | Practitioner - Family Practice | 0941118954 | Practice locations: Grand Blanc, MI |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101008664 | MI | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618790400000",
"number": "1902895170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1134 S LINDEN RD STE 6 BLDG C",
"city": "FLINT",
"state": "MI",
"postal_code": "485323455",
"telephone_number": "810-732-5555",
"fax_number": "810-732-1155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1134 S LINDEN RD STE 6 BLDG C",
"city": "FLINT",
"state": "MI",
"postal_code": "485323455",
"telephone_number": "810-732-5555",
"fax_number": "810-732-1155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS-GRAYS",
"first_name": "BRENDA",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-10-19",
"last_updated": "2021-04-19",
"certification_date": "2021-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101008664",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0852502844",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLUS",
"identifier": "0852502845",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "4232634001",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ADVANTAGE NETWORK",
"identifier": "204390",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4073621",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "METRAHEALTH",
"identifier": "CD3610/P00064642",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE PLAN",
"identifier": "F00557",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE NETWORK",
"identifier": "080D410020",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCLAREN HEATLH PLAN",
"identifier": "204390",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4542857",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCARE",
"identifier": "C2595",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET FEDERAL",
"identifier": "F00557",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "080D410020",
"state": "MI"
}
],
"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 Apr 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.