| Brenda Rogers Grays Do Pc | |
|
1134 S Linden Rd Suite 6 Flint MI 48532-3455 | |
| (810) 732-5555 | |
| (810) 732-1155 |
| Full Name | Brenda Rogers Grays Do Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1134 S Linden Rd, Flint, Michigan |
| Authorized Official Name and Position | Brenda Rogers-grays (OWNER) |
| Authorized Official Contact | 8107325555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brenda Rogers Grays Do Pc Po Box 33738 Dept 999358 Detroit MI 48232-3738 Ph: (810) 732-5555 | Brenda Rogers Grays Do Pc 1134 S Linden Rd Suite 6 Flint MI 48532-3455 Ph: (810) 732-5555 |
| NPI Number | 1245269125 |
|---|---|
| Provider Enumeration Date | 07/02/2006 |
| Last Update Date | 03/07/2023 |
| Medicare PECOS PAC ID | 2163592817 |
|---|---|
| Medicare Enrollment ID | O20080606000238 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245269125 | NPI | - | NPPES |
| 5101008664 | Other | MI | LICENSE |
| 5101008664 | Other | CONTROLLED SUBSTANCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101008664 (Michigan) | Primary |
| Provider Name | Brenda Rogers-grays |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902895170 PECOS PAC ID: 0941118954 Enrollment ID: I20060727000344 |
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