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BRANDON TRIVAX D.O. NPI 1841687068


NPI Information

NPI: 1841687068
Provider Name: BRANDON TRIVAX, D.O.
Classification: Physical Medicine & Rehabilitation - 2081P0301X
Entity Type: Individual

Specialization: Brain Injury Medicine

PECOS Registration: Yes

Address:
3535 W 13 MILE RD STE 437
ROYAL OAK, MI
ZIP 48073
Phone: (248) 288-2210
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Brandon Trivax, D.O. is a brain injury medicine physical medicine rehabilitation in Royal Oak, MI with 9 years of experience. The provider is a Brain Injury Medicine physician specializes in disorders of brain function due to injury and disease. These disorders encompass a range of medical, physical, neurologic, cognitive, sensory, and behavioral disorders that result in psychosocial, educational, and vocational consequences. Brandon Trivax, D.O. NPI is 1841687068. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:2015

The provider's business location address is:

3535 W 13 MILE RD STE 437
ROYAL OAK, MI
ZIP 48073-770
Phone: (248) 288-2210
Fax: (248) 589-9875

The NPI 1841687068 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/26/2015 and was last updated on 12/13/2022.


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
12081P0301XPhysical Medicine & RehabilitationBrain Injury Medicine58.030743OHIOYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.