BRIGHTMOOR MEDICAL CENTER (NPI# 1649490558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649490558 |
| Entity Type | Organization |
| Organization Name | BRIGHTMOOR MEDICAL CENTER |
| Practice Address |
20510 Fenkell Road Detroit MI 48223-1613 |
| Mailing Address |
20510 Fenkell St Po Box 23035 Detroit MI 48223-1613 |
| Practice Telephone | 3135346611 |
| Practice Fax Number | 3135342525 |
| Mailing Telephone | 3135346611 |
| Mailing Fax Number | 3135342525 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2011-09-07 |
| Authorized Official Name | MR. ALEX PICKENS III (DIRECTOR OF DEVELOPMENT) |
| Authorized Official Telephone | 3135346611 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VH0002X |
Obstetrics & Gynecology Specialization: Hospice and Palliative Medicine |
4301038348 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
20510 FENKELL ROAD |
| City | DETROIT |
| State | MI |
| Zip Code | 48223-1613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366946659 | From Heavens Joy Assisted Care Support Services LLC | Social Worker | 14179 Evergreen Rd, Detroit, MI 48223 | 2018-03-21 |
| 1164921144 | Kyara Mccraney | Licensed Practical Nurse | 12725 Riverview St, Detroit, MI 48223 | 2018-02-06 |
| 1922516384 | Cynthia Clair Reese | Nursing Home Administrator | 22625 Glendale, Det, MI 48223 | 2018-01-18 |
| 1629590609 | Marie Davis | Nursing Care | 14049 Minock St, Detroit, MI 48223 | 2017-07-12 |
| 1740726488 | Tanisha Smith | Behavior Technician | 14620 Faust Ave, Detroit, MI 48223 | 2017-01-18 |
| 1518418730 | Tamica K Boyd | Emergency Medical Technician, Basic | 15890 Lamphere, Detroit, MI 48223 | 2016-10-24 |
| 1831596832 | Walter Ector | Counselor | 14243 Minock, Detroit, MI 48223 | 2014-11-20 |
| 1336568542 | Sheryl A Ali | Registered Nurse | 12811 Hazelton Street, Detroit, MI 48223 | 2014-04-15 |
| 1255667556 | Abyssinia Love Knot Physical Therapy LLC | Physical Medicine & Rehabilitation | 15340 Southfield Freeway, Suite 1-a, Detroit, MI 48223 | 2009-10-22 |
| 1629243902 | Glenda Faye Smith | Massage Therapist | 15041 Faust, Detroit, MI 48223 | 2008-04-28 |
| Find all providers in zip 48223 | ||||
| Taxonomy Code | 207VH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Hospice and Palliative Medicine |
| An obstetrician/gynecologist with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952529091 | Alex Pickens & Assoc M D P C | Obstetrics & Gynecology | 15639 W Mcnichols Rd, Detroit, MI 48235-3541 | 2007-04-23 |
| 1609086933 | Obgyn Specialty Group, PC | Obstetrics & Gynecology | 19830 James Couzens Fwy, Detroit, MI 48235-1938 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568663904 | George Elwin Turke | Obstetrics & Gynecology | 5035 Gordon Ave, Newaygo, MI 49337-9164 | 2007-05-31 |
| 1427260884 | Sharrell Eltreece Gibson | Obstetrics & Gynecology | 1000 Michigan St Ne, Grand Rapids, MI 49503-1908 | 2007-05-05 |
| 1164623997 | Sapna Murthy | Obstetrics & Gynecology | 1135 W University Dr, Suite 100, Rochester, MI 48307-1871 | 2007-05-30 |
| 1013118892 | West Shore Obgyn Pllc | Obstetrics & Gynecology | 1844 E Apple Ave, Suites B & C, Muskegon, MI 49442-3881 | 2007-05-30 |
| 1992910608 | Jerry Michael Butto Do PC | Obstetrics & Gynecology | 5400 Fort St, Suite 250, Trenton, MI 48183-4632 | 2007-05-14 |
| 1053533257 | Lameitre Camille Lockhart | Obstetrics & Gynecology | 16001 W 9 Mile Rd, Southfield, MI 48075-4818 | 2007-05-03 |
| 1104044783 | Southfield Obstetrical Services PC | Obstetrics & Gynecology | 30400 Telegraph Rd, Suite 350, Bingham Farms, MI 48025-5814 | 2007-04-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.