DR. GARY BURNSTEIN COMMUNITY HEALTH CLINIC
NPI 1073188736
Clinic/Center - Community Health in Pontiac, MI

Active since May 25, 2021CLIA 23D2115978 · Waiver
45580 WOODWARD AVE, PONTIAC, MI 48341(248) 309-3795(248) 309-3835 Get Directions Write a Review

NPPES record last updated: May 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gary Burnstein Community Health Clinic NPPES

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

DR. GARY BURNSTEIN COMMUNITY HEALTH CLINIC (NPI 1073188736) is a healthcare organization registered as a community health in Pontiac, Michigan and active in the NPI registry since May 2021. The organization holds a CLIA Waiver certificate valid through July 17, 2028 and lists Justin Fulford Brox, Ceo, as its authorized official.

NPPES Registry Identity

NPI1073188736
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameDR. GARY BURNSTEIN COMMUNITY HEALTH CLINIC
Location Address45580 WOODWARD AVEPontiac, MI 48341-5016
Mailing Address45580 Woodward AvePontiac, MI 48341-5016 · (248) 309-3795 · Fax (248) 309-3835
Fax(248) 309-3835
Organization SubpartNo
Authorized OfficialJustin Fulford BroxCeo · (248) 309-3795
Enumeration DateMay 25, 2021
NPPES CertifiedMay 25, 2021
NPI 1073188736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
Also ListedVoluntary or CharitableTaxonomy 251V00000X
Also ListedClinic/Center · DentalTaxonomy 261QD0000X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
Also ListedPharmacyTaxonomy 333600000X
45580 WOODWARD AVE, Pontiac, MI 48341

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 Waiver 23D2115978

Gary Burnstein Community Health Clinic · Pontiac, MI
Active · expires Jul 17, 2028
CLIA Number23D2115978
Laboratory TypeCommunity Clinic
Certificate Effective DateJuly 18, 2026
Certificate Expiration DateJuly 17, 2028
Laboratory DirectorTamika Bellamy
Laboratory Phone(248) 309-3752
Laboratory LocationGary Burnstein Community Health Clinic45580 Woodward Avenue, Pontiac, MI 48341
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
45580 WOODWARD AVE
PONTIAC, MI 48341
Internal Medicine (Geriatric Medicine)
45580 WOODWARD AVE
PONTIAC, MI 48341

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 Dr. Gary Burnstein Community Health Clinic's NPI number?

The NPI number for Dr. Gary Burnstein Community Health Clinic is 1073188736. It was assigned to this organization in the NPPES registry on May 25, 2021.

Where is Dr. Gary Burnstein Community Health Clinic located?

Dr. Gary Burnstein Community Health Clinic is located at 45580 Woodward Ave, Pontiac, MI 48341. The listed phone number is (248) 309-3795.

What is Dr. Gary Burnstein Community Health Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

Does Dr. Gary Burnstein Community Health Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2115978) is associated with this NPI, valid through July 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dr. Gary Burnstein Community Health Clinic was last updated on May 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.