BRENTWOOD PEDIATRICS PC
NPI 1013188648
Pediatrics in Livonia, MI

Active since March 24, 2008CLIA 23D0367952 · Certificate of Compliance
33215 W. SEVEN, BRENTWOOD PEDIATRICS ASSOCIATES, LIVONIA, MI 48152(248) 478-3200(248) 478-3316 Get Directions Write a Review

NPPES record last updated: February 23, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Brentwood Pediatrics Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRENTWOOD PEDIATRICS PC (NPI 1013188648) is a healthcare organization registered as a pediatrics in Livonia, Michigan and active in the NPI registry since March 2008. The organization holds a CLIA Certificate of Compliance certificate valid through April 7, 2027 and lists Ajey Godbole, President, as its authorized official.

NPPES Registry Identity

NPI1013188648
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameBRENTWOOD PEDIATRICS PC
Location Address33215 W. SEVEN, BRENTWOOD PEDIATRICS ASSOCIATESLivonia, MI 48152
Mailing Address33215 W. Seven Mile RdLivonia, MI 48152 · (248) 478-3200 · Fax (248) 478-3316
Fax(248) 478-3316
Organization SubpartNo
Authorized OfficialAjey GodbolePresident · (248) 478-3200
Enumeration DateMarch 24, 2008
Last NPPES UpdateFebruary 23, 2015
NPI 1013188648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in MI · 005826
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
33215 W. SEVEN, Livonia, MI 48152

Other Identifiers 2

Medicare UPINE31648MI
Medicare UPINH51560MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 23D0367952

Brentwood Pediatrics · Livonia, MI
Active · expires Apr 7, 2027
CLIA Number23D0367952
Laboratory TypePhysician Office
Certificate Effective DateApril 8, 2025
Certificate Expiration DateApril 7, 2027
Laboratory DirectorAjey V. Godbole
Laboratory Phone(248) 478-3200
Laboratory LocationBrentwood Pediatrics33215 W Seven Mile Road, Livonia, MI 48152
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brentwood Pediatrics PC's NPI number?

The NPI number for Brentwood Pediatrics PC is 1013188648. It was assigned to this organization in the NPPES registry on March 24, 2008.

Where is Brentwood Pediatrics PC located?

Brentwood Pediatrics PC is located at 33215 W. Seven Brentwood Pediatrics Associates, Livonia, MI 48152. The listed phone number is (248) 478-3200.

What is Brentwood Pediatrics PC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Brentwood Pediatrics PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 23D0367952) is associated with this NPI, valid through April 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Brentwood Pediatrics PC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Brentwood Pediatrics PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brentwood Pediatrics PC was last updated on February 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.