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OCTAVIA BRONAUGH
NPI 1184516320
Student in an Organized Health Care Education/Training Program in Westland, MI

Active since July 21, 2025
8623 N WAYNE RD STE 104, WESTLAND, MI 48185(734) 425-0636 Get Directions Write a Review

NPPES record last updated: July 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Octavia Bronaugh NPPES

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

OCTAVIA BRONAUGH (NPI 1184516320) is an individual student in an organized health care education/training program in Westland, Michigan and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1184516320
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameOCTAVIA BRONAUGH
Location Address8623 N WAYNE RD STE 104Westland, MI 48185-1137
Mailing Address1231 Northwood DrInkster, MI 48141-1770 · (313) 283-7008
Phone(734) 425-0636
Sole ProprietorNo
Enumeration DateJuly 21, 2025
NPPES CertifiedJuly 20, 2025
✔ NPI 1184516320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
8623 N WAYNE RD STE 104, Westland, MI 48185
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Other Providers at the Same Location NPPES 9

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

MARWA ALSHIMERY
Registered Nurse
8623 N WAYNE RD STE 104
WESTLAND, MI 48185
Wayne County (734) 458-4601
ALEXANDRA LJUBIC LMSW
Social Worker
8623 N WAYNE RD STE 104
WESTLAND, MI 48185
Wayne County (734) 742-0191
MRS. LYNETTE MARIE ROODING RN
Registered Nurse
8623 N WAYNE RD STE 104
WESTLAND, MI 48185
Wayne County (734) 469-2770
MANPREET SINGH JOHAL
Case Manager/Care Coordinator
8623 N WAYNE RD STE 104
WESTLAND, MI 48185
Wayne County (734) 469-2770
HEGIRA HEALTH, INC.
Clinic/Center (Primary Care)
8623 N WAYNE RD STE 104
WESTLAND, MI 48185
Wayne County (734) 742-0191
DESTINY NICOLE WRIGHT CHW
Community Health Worker
8623 N WAYNE RD STE 104
WESTLAND, MI 48185
Wayne County (248) 241-2620
DR. PHILIP ALAIN GILLY MD
Family Medicine (Addiction Medicine)
8623 N WAYNE RD STE 104
WESTLAND, MI 48185
Wayne County (734) 469-2770
AMBER RENEE MONTAYNE RN
Registered Nurse
8623 N WAYNE RD STE 104
WESTLAND, MI 48185
Wayne County (734) 523-8250

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 Octavia Bronaugh's NPI number?

The NPI number for Octavia Bronaugh is 1184516320. It was assigned to this individual provider in the NPPES registry on July 21, 2025.

Where is Octavia Bronaugh located?

Octavia Bronaugh practices at 8623 N Wayne Rd Ste 104, Westland, MI 48185. The listed phone number is (734) 425-0636.

What is Octavia Bronaugh's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Octavia Bronaugh was last updated on July 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.