THE SPORTS NEUROLOGY CLINIC
NPI 1275043853
Psychiatry & Neurology - Sports Medicine in Brighton, MI

Active since October 09, 2017
8273 GRAND RIVER RD STE 210, BRIGHTON, MI 48114(734) 223-4581 Get Directions Write a Review

NPPES record last updated: December 5, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 5, 2017, Nov 15, 2017, Oct 9, 2017 (3 updates tracked since 2017).

About The Sports Neurology Clinic NPPES

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

THE SPORTS NEUROLOGY CLINIC (NPI 1275043853) is a healthcare organization registered as a sports medicine in Brighton, Michigan and active in the NPI registry since October 2017. The organization lists Jeffrey Kutcher, National Director, as its authorized official.

NPPES Registry Identity

NPI1275043853
Entity TypeOrganization
Primary Taxonomy2084S0010X
Legal Business NameSPORTS NEUROLOGY CLINIC
Location Address8273 GRAND RIVER RD STE 210Brighton, MI 48114-9346
Mailing Address8273 Grand River Rd Ste 210Brighton, MI 48114-9346 · (810) 522-6080
Organization SubpartNo
Authorized OfficialJeffrey KutcherNational Director · (734) 223-4581
Enumeration DateOctober 9, 2017
Last NPPES UpdateDecember 5, 20173 updates tracked since enumeration
NPI 1275043853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychiatry & Neurology · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2084S0010X
Definition

A psychiatrist or neurologist who specializes in the diagnosis and treatment of sports related conditions and injuries.

Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
8273 GRAND RIVER RD STE 210, Brighton, MI 48114

Other Names 1

Doing Business AsThe Sports Neurology Clinic

Other Identifiers 5

Other8919590-1205UT · State Of Utah Board Of Medicine
Other51983AZ · Arizona Medical Board
Other4301073973MI · State Of Michigan Board Of Medicine
OtherMD.203771LA · Louisiana State Board Of Medical Examiners
OtherME131286FL · Florida Department Of Health

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 4

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

Specialist/Technologist (Athletic Trainer)
8273 GRAND RIVER RD STE 210
BRIGHTON, MI 48114
Nurse Anesthetist, Certified Registered
8273 GRAND RIVER RD STE 210
BRIGHTON, MI 48114
Nurse Anesthetist, Certified Registered
8273 GRAND RIVER RD STE 210
BRIGHTON, MI 48114
Physical Medicine & Rehabilitation
8273 GRAND RIVER RD STE 210
BRIGHTON, MI 48114

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275043853, enumerated as an "organization" on October 09, 2017.

The provider is located at 8273 GRAND RIVER RD STE 210 BRIGHTON, MI 48114 and the phone number is (734) 223-4581.

Psychiatry & Neurology with taxonomy code 2084S0010X and a focus in Sports Medicine.

The provider might be accepting Accepts: University of Utah Health Plans, Medicare and. Please consult your insurance carrier or call the provider to verify.