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MICHIGAN BRAIN & SPINE PHYSICIANS GROUP NPI 1760771117


NPI Information

NPI: 1760771117
Provider Name: MICHIGAN BRAIN & SPINE PHYSICIANS GROUP
Classification: Neurological Surgery - 207T00000X
Entity Type: Organization
Address:
29355 NORTHWESTERN HWY
SUITE 130
SOUTHFIELD, MI
ZIP 48034
Phone: (248) 440-7101
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MICHIGAN BRAIN & SPINE PHYSICIANS GROUP is a neurological surgery in Southfield, MI. The provider is a neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. MICHIGAN BRAIN & SPINE PHYSICIANS GROUP NPI is 1760771117. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

29355 NORTHWESTERN HWY
SUITE 130
SOUTHFIELD, MI
ZIP 48034-053
Phone: (248) 440-7101
Fax: (248) 223-9070

The provider's authorized official is Nasrin Pilotzada .
The authorized official title is Business Manager and has the following contact phone number (248) 440-7101.

The enumeration date for this NPI number is 4/6/2011 and was last updated on 2/24/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207T00000XNeurological Surgery4301097955MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10E03389OTHERMICHIGANBLUE CROSS BLUE SHIELD PIN
2MI4553MEDICARE PINMICHIGAN
34301097955OTHERMICHIGANLICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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