Provider Demographics
NPI:1447399969
Name:BRIGHTON PEDIATRICS, P.C.
Entity Type:Organization
Organization Name:BRIGHTON PEDIATRICS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NEIGATHA
Authorized Official - Middle Name:ELEASE
Authorized Official - Last Name:GRANEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:810-220-3700
Mailing Address - Street 1:8550 W GRAND RIVER AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:BRIGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:48116-4352
Mailing Address - Country:US
Mailing Address - Phone:810-220-3700
Mailing Address - Fax:810-220-1321
Practice Address - Street 1:8550 W GRAND RIVER AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:BRIGHTON
Practice Address - State:MI
Practice Address - Zip Code:48116-4352
Practice Address - Country:US
Practice Address - Phone:810-220-3700
Practice Address - Fax:810-220-1321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty