Detroit Brain Institute PLLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

DETROIT BRAIN INSTITUTE PLLC

Practice address

18111 Wildemere St
Detroit, MI 48221-2728

Phone

(313) 492-5701

NPI assigned

Nov 13, 2015

Last updated

Nov 13, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gregory Norris, MD

Title

President

Phone

(313) 492-5701

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1447372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447372800000",
    "number": "1932573904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17177 N LAUREL PARK DR",
            "address_2": "SUITE 439",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481522693",
            "telephone_number": "734-462-0340",
            "fax_number": "734-462-0344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18111 WILDEMERE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482212728",
            "telephone_number": "313-492-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DETROIT BRAIN INSTITUTE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-13",
        "last_updated": "2015-11-13",
        "status": "A",
        "authorized_official_last_name": "NORRIS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-492-5701",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Detroit Area Agency on Aging
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• Detroit Cardiovascular Center DCC
• Detroit Care Center ,LLC
• Detroit Caring Dentistry
• Detroit Center for Care
• Detroit Central City Community Mental Health Inc. (Central City Health)

• Neurology Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Neurology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.