DERMATOLOGY & PHOTOTHERAPY CENTER OF BRIGHTON, PLC
NPI 1659624591
Dermatology in Brighton, MI

NPI Status: Active since October 16, 2012

Contact Information

2305 GENOA BUSINESS PARK DR
BRIGHTON, MI
ZIP 48114
Phone: (810) 355-4300
Fax: (586) 286-8723

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  • Organization
  • Dermatology
  • Accepts Insurance
  • CLIA Number: 23D2077425
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 12-11-2026

About DERMATOLOGY & PHOTOTHERAPY CENTER OF BRIGHTON, PLC

This page provides the complete NPI Profile along with additional information for Dermatology & Phototherapy Center Of Brighton, Plc, a provider established in Brighton, Michigan operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1659624591 assigned on October 2012. The practitioner's primary taxonomy code is 207N00000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Iltefat Hamzavi M.d. (Member)

NPI
1659624591
Provider Name
DERMATOLOGY & PHOTOTHERAPY CENTER OF BRIGHTON, PLC
Entity Type
Organization
Location Address
2305 GENOA BUSINESS PARK DR BRIGHTON, MI 48114
Location Phone
(810) 355-4300
Location Fax
(586) 286-8723
Mailing Address
43151 DALCOMA DR CLINTON TOWNSHIP, MI 48038
Mailing Phone
(586) 286-8720
Mailing Fax
(586) 286-8723
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-16-2012
Last Update Date
04-18-2013
Code Navigator

A dermatologist like Dermatology & Phototherapy Center Of Brighton, Plc is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dermatology

Taxonomy Code
207N00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Blue Cross� Preferred HMO Bronze Extra - HMO
  • Blue Cross� Preferred HMO Bronze Saver HSA - HMO
  • Blue Cross� Preferred HMO Bronze Secure - HMO
  • Blue Cross� Preferred HMO Gold - HMO
  • Blue Cross� Preferred HMO Gold Extra - HMO
  • Blue Cross� Preferred HMO Silver - HMO
  • Blue Cross� Preferred HMO Silver Extra - HMO
  • Blue Cross� Preferred HMO Silver Saver - HMO
  • Blue Cross� Preferred HMO Value - HMO
  • Blue Cross� Select HMO Bronze Extra - HMO
  • Blue Cross� Premier PPO Bronze Extra - PPO
  • Blue Cross� Premier PPO Bronze Saver HSA - PPO
  • Blue Cross� Premier PPO Bronze Secure - PPO
  • Blue Cross� Premier PPO Gold - PPO
  • Blue Cross� Premier PPO Gold Extra - PPO
  • Blue Cross� Premier PPO Silver - PPO
  • Blue Cross� Premier PPO Silver Extra - PPO
  • Blue Cross� Premier PPO Silver Saver HSA - PPO
  • Blue Cross� Premier PPO Value - PPO
  • BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
  • BlueOptions Bronze 24J01-04 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-06 (Rewards) - PPO
  • BlueOptions Bronze 24J01-17 ($50 PCP Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-18S ($50 PCP Visits / Rewards) - PPO
  • BlueOptions Gold 24J01-09 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - PPO
  • BlueOptions Gold 24J01-12 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards) - PPO
  • BlueOptions Gold 24J01-20S ($30 PCP Visits / $60 Specialist Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-05 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-08 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) - PPO
  • BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
  • BlueCare Bronze 24K01-03 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K01-05 (Rewards) - POS
  • BlueCare Bronze 24K01-25 ($50 PCP Visits / $75 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K01-31S ($50 PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K02-17 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K02-18 (Rewards) - POS
  • BlueCare Bronze 24K02-23 ($50 PCP Visits / $75 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K02-26S ($50 PCP Visits / Rewards) - POS
  • BlueCare Gold 24K01-08 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - POS

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. ILTEFAT HAMZAVI M.D.

Authorized Official Title
MEMBER
Authorized Official Phone
(586) 286-8720

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
23D2077425
Facility Type
Physician Office
Certificate Effective Date
December 12, 2024
Certificate Expiration Date
December 11, 2026
Laboratory Director
MATTEO C. LOPICCOLO
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Dermatology & Phototherapy Center Of Brighton, Plc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1659624591, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
9
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
2
Unchanged
Pos 7
4
Doubled → 8
Pos 8
5
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 6 → 12 → 3 4 → 8 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 0 + 9 + 1 + 2 + 2 + 8 + 5 + 1 + 8 + 24 = 69

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1659624591.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pediatrics
2305 GENOA BUSINESS PARK DR, SUITE 240
BRIGHTON, MI 48114
Physician Assistant
2305 GENOA BUSINESS PARK DR, SUITE 170
BRIGHTON, MI 48114
Family Medicine
2305 GENOA BUSINESS PARK DR, SUITE 200
BRIGHTON, MI 48114
Pediatrics
2305 GENOA BUSINESS PARK DR, SUITE 240
BRIGHTON, MI 48114
Nurse Practitioner (Pediatrics)
2305 GENOA BUSINESS PARK DR, STE 240
BRIGHTON, MI 48114
Physician Assistant
2305 GENOA BUSINESS PARK DR, SUITE 170
BRIGHTON, MI 48114
Physical Therapist
2305 GENOA BUSINESS PARK DR, SUITE 170
BRIGHTON, MI 48114
Obstetrics & Gynecology (Reproductive Endocrinology)
2305 GENOA BUSINESS PARK DR, SUITE 180
BRIGHTON, MI 48114
Physician Assistant
2305 GENOA BUSINESS PARK DR, SUITE 170
BRIGHTON, MI 48114
Physician Assistant
2305 GENOA BUSINESS PARK DR, SUITE 170
BRIGHTON, MI 48114
Radiologic Technologist (Sonography)
2305 GENOA BUSINESS PARK DR, SUITE 250
BRIGHTON, MI 48114
Non-Pharmacy Dispensing Site
2305 GENOA BUSINESS PARK DR, STE 170
BRIGHTON, MI 48114
Physician Assistant
2305 GENOA BUSINESS PARK DR, SUITE 170
BRIGHTON, MI 48114
Internal Medicine
2305 GENOA BUSINESS PARK DR, SUITE 120
BRIGHTON, MI 48114
Nurse Practitioner (Pediatrics)
2305 GENOA BUSINESS PARK DR, SUITE 240
BRIGHTON, MI 48114
Occupational Therapist
2305 GENOA BUSINESS PARK DR, SUITE 170
BRIGHTON, MI 48114
Nurse Practitioner (Pediatrics)
2305 GENOA BUSINESS PARK DR, STE 240
BRIGHTON, MI 48114
Physician Assistant (Surgical)
2305 GENOA BUSINESS PARK DR, SUITE 170
BRIGHTON, MI 48114
Pediatrics
2305 GENOA BUSINESS PARK DR, STE 240
BRIGHTON, MI 48114
Obstetrics & Gynecology
2305 GENOA BUSINESS PARK DR, SUITE 230
BRIGHTON, MI 48114

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659624591, enumerated as an "organization" on October 16, 2012.

The provider is located at 2305 GENOA BUSINESS PARK DR BRIGHTON, MI 48114 and the phone number is (810) 355-4300.

Dermatology with taxonomy code 207N00000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.