Provider Demographics
NPI:1245345073
Name:BRAINARD, HUGH F (MD)
Entity type:Individual
Prefix:DR
First Name:HUGH
Middle Name:F
Last Name:BRAINARD
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6465 MILLENNIUM DRIVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48917-6880
Mailing Address - Country:US
Mailing Address - Phone:517-975-3720
Mailing Address - Fax:517-975-3748
Practice Address - Street 1:6465 MILLENNIUM
Practice Address - Street 2:SUITE 100
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48917-6880
Practice Address - Country:US
Practice Address - Phone:517-975-3720
Practice Address - Fax:517-975-3748
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2010-01-22
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Provider Licenses
StateLicense IDTaxonomies
MIHB072510208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4565815Medicaid
MI700C460060OtherBCBS GROUP
G81384Medicare UPIN
MI4565815Medicaid