BRENT SMITH, PLLC (NPI# 1083804702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083804702 |
| Entity Type | Organization |
| Organization Name | BRENT SMITH, PLLC |
| Practice Address |
22433 Middlebelt Rd Farmington Hills MI 48336-3743 |
| Mailing Address |
5576 Pine Aires Dr Sterling Heights MI 48314-1349 |
| Practice Telephone | 2484761900 |
| Practice Fax Number | 2484768753 |
| Mailing Telephone | 5868031458 |
| Mailing Fax Number | 5869776084 |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2007-07-30 |
| Authorized Official Name | DR. BRENT DAVID SMITH (OWNER) |
| Authorized Official Telephone | 5868031548 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 5101011057 | MI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4267288 | 05 |
| Street Address |
22433 MIDDLEBELT RD |
| City | FARMINGTON HILLS |
| State | MI |
| Zip Code | 48336-3743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568543841 | Stuart Jay Rubin | Chiropractor | 22433 Middlebelt Rd, Farmington Hills, MI 48336-3743 | 2006-10-17 |
| 1629358940 | Melanie Ann Parker | Massage Therapist | 22433 Middlebelt Rd, Farmington Hills, MI 48336-3743 | 2011-08-17 |
| 1255549937 | Shelly Ann Konchel | Massage Therapist | 22433 Middlebelt Rd, Farmington Hills, MI 48336-3743 | 2007-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932733375 | Compassionate Attendant Care Inc | Home Health | 21100 Osmus Street, Suite E, Farmington Hills, MI 48336 | 2020-02-25 |
| 1578123790 | Jon Boynton | Audiologist-Hearing Aid Fitter | 25882 Orchard Lake Rd, Suite 103, Farmington Hills, MI 48336 | 2019-06-19 |
| 1083270078 | Bethesda Home Health LLC | Home Health | 34445 Northwestern Hwy, Farmington Hills, MI 48336 | 2019-05-15 |
| 1174005227 | Cisseri Health Care | Home Health | 28931 W 11 Mile Rd, Farmington Hills, MI 48336 | 2018-09-05 |
| 1326531294 | April A Jackson | Psychologist | 24211 Farmington Road, Farmington Hills, MI 48336 | 2018-06-14 |
| 1083136642 | Nicole Renee Cannonier | Social Worker | 25311 Lynford, Farmington Hills, MI 48336 | 2017-07-14 |
| 1174052021 | Sharon Suzanne King | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 21600 Tulane, Farmington Hills, MI 48336 | 2017-06-05 |
| 1639578909 | Alyssa Kaitlyn Brecht | Rehabilitation Counselor | 23062 Middlebelt Rd, Apt 103, Farmington Hills, MI 48336 | 2014-08-22 |
| 1184038341 | Therapeutic Advantage LLC | Occupational Therapist | 30903 W 10 Mile Rd Ste B, Farmington Hills, MI 48336 | 2014-06-16 |
| 1952727257 | Takara Orum | Social Worker | 21399 Tulane Ave, Apt. 301, Farmington Hills, MI 48336 | 2014-03-11 |
| Find all providers in zip 48336 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689045577 | Befitting You,llc | Clinic/Center | 28300 Orchard Lake Rd, Suite 233, Farmington Hills, MI 48334-3704 | 2015-10-17 |
| 1942623871 | Centria Healthcare | Clinic/Center | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2014-01-29 |
| 1821360363 | Mind Body and Soul Psychiatric Services | Clinic/Center | 25882 Orchard Lake Rd, Suite L-5a, Farmington Hills, MI 48336-1292 | 2012-01-30 |
| 1194985689 | Steven J. Fadoir, Ph.d. P.C. | Clinic/Center | 31330 Northwestern Hwy, Suite D, Farmington Hills, MI 48334-2560 | 2008-06-10 |
| 1013120641 | Tlc Laser Center of Detroit, LLC | Clinic/Center | 34405 W 12 Mile Rd, Ste. 154, Farmington Hills, MI 48331-3391 | 2007-05-08 |
| 1144366758 | Samina Ansar Ghazi Md PC | Clinic/Center | 33110 W 12 Mile Rd, Farmington Hills, MI 48334-3307 | 2007-01-30 |
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|---|---|---|---|---|
| 1235730664 | Edward W. Sparrow Hospital Association | Clinic/Center | 2900 Hannah Blvd Ste 204, East Lansing, MI 48823-5382 | 2020-11-03 |
| 1952909558 | Quilted Rose Clinical Services, Pllc | Clinic/Center | 269 Walker St Ste 256, Detroit, MI 48207-4258 | 2020-10-15 |
| 1386250694 | A Better Me Therapy, LLC | Clinic/Center | 2503 S Linden Rd Ste 259, Flint, MI 48532-5462 | 2020-09-22 |
| 1275148165 | Anasthesia Pain Service PC | Clinic/Center | 15350 Michigan Ave, Dearborn, MI 48126 | 2020-09-09 |
| 1659985042 | Passion and Purpose Pediatrics | Clinic/Center | 2944 Olden Oak Ln Apt 204, Auburn Hills, MI 48326-2177 | 2020-09-02 |
| 1710597745 | Renew Child and Family Center | Clinic/Center | 383 Starkweather St, Plymouth, MI 48170-1382 | 2020-08-04 |
| 1467075358 | Shear Pointe Inc | Clinic/Center | 1971 E 14 Mile Rd, Birmingham, MI 48009-7244 | 2020-05-26 |
| 1992326466 | New Healthcare PC | Clinic/Center | 911 Dix St Ste B, Otsego, MI 49078-1609 | 2020-05-06 |
| 1851920581 | Emotional Wellness Group LLC | Clinic/Center | 11956 E Outer Dr, Detroit, MI 48224-2630 | 2020-04-04 |
| 1003445800 | Dr. Chris Popp, PC | Clinic/Center | 107 Aprill Dr Ste 5, Ann Arbor, MI 48103-1956 | 2020-04-03 |
| Find all providers with the same taxonomy | ||||
| City | FARMINGTON HILLS |
| Zip Code | 48336 |
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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.