BRENTWOOD PEDIATRICS PC – NPI #1013188648
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

BRENTWOOD PEDIATRICS PC is a provider located in LIVONIA, MI. NPPES has assigned the NPI number 1013188648 to BRENTWOOD PEDIATRICS PC on March 24, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 11 years ago on Feb 23, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BRENTWOOD PEDIATRICS PC below.

NPI Profile for
BRENTWOOD PEDIATRICS PC

NPI Number
1013188648
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BRENTWOOD PEDIATRICS PC
Primary location
33215 W. SEVEN
BRENTWOOD PEDIATRICS ASSOCIATES
LIVONIA, MI 48152
Phone: (248) 478-3200 Fax: (248) 478-3316
Mailing address
33215 W. SEVEN MILE RD
LIVONIA, MI 48152
Phone: (248) 478-3200 Fax: (248) 478-3316
Organization Subpart
No
Authorized Official
AJEY GODBOLE
PRESIDENT
Phone: (248) 478-3200
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
MI 005826

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.