1. Home
  2. Directory
  3. Michigan
  4. Detroit
  5. Obstetrics Gynecology
  6. NPI Profile

BRENT W GILLUM D O PLC
NPI 1710926670
Obstetrics & Gynecology in Detroit, MI

Active since June 06, 2006
4727 SAINT ANTOINE ST, SUITE 210, DETROIT, MI 48201(313) 831-3066(313) 831-8438 Get Directions Write a Review

NPPES record last updated: November 7, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brent W Gillum D O Plc NPPES

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

BRENT W GILLUM D O PLC (NPI 1710926670) is a healthcare organization registered as an obstetrics & gynecology in Detroit, Michigan and active in the NPI registry since June 2006. The organization lists Brent Winston Gillum, Physican, as its authorized official.

NPPES Registry Identity

NPI1710926670
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameBRENT W GILLUM D O PLC
Location Address4727 SAINT ANTOINE ST, SUITE 210Detroit, MI 48201-1461
Mailing Address4727 Saint Antoine St, Suite 210Detroit, MI 48201-1461 · (313) 831-3066 · Fax (313) 831-8438
Phone(313) 831-3066
Fax(313) 831-8438
Organization SubpartNo
Authorized OfficialBrent Winston GillumPhysican · (313) 831-3066
Enumeration DateJune 6, 2006
Last NPPES UpdateNovember 7, 2007
✔ NPI 1710926670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MI · 007845
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
4727 SAINT ANTOINE ST, Detroit, MI 48201
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINE30920MI
Medicare PINOP33170MI
Medicaid4850953MI

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

Other Providers at the Same Location NPPES 20

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

DR. LINDA MARIE GREEN D.O.
Internal Medicine
4727 SAINT ANTOINE ST, SUITE 211
DETROIT, MI 48201
Wayne County (313) 833-5032
LORI C BILLIS MD
Obstetrics & Gynecology
4727 SAINT ANTOINE ST, SUITE 304
DETROIT, MI 48201
Wayne County (313) 745-0499
SAMUEL GENE MCNEELEY MD
Obstetrics & Gynecology
4727 SAINT ANTOINE ST, SUITE 304
DETROIT, MI 48201
Wayne County (313) 745-0499
S MADANI MD PC
Pediatrics (Pediatric Gastroenterology)
4727 SAINT ANTOINE ST, SUITE 402
DETROIT, MI 48201
Wayne County (313) 833-4629
JACKSON HEALTH SERVICES
Family Medicine
4727 SAINT ANTOINE ST, STE 202
DETROIT, MI 48201
Wayne County (313) 831-8805
METRO WOMENS HEALTH PLLC
Obstetrics & Gynecology (Obstetrics)
4727 SAINT ANTOINE ST, SUITE 304
DETROIT, MI 48201
Wayne County (313) 745-0499
ANDREW THOMAS, M.D.,P.C.
Family Medicine
4727 SAINT ANTOINE ST, SUITE 211
DETROIT, MI 48201
Wayne County (313) 833-5032
DR. MICHAEL EDWARD DEAN M.D.
Obstetrics & Gynecology
4727 SAINT ANTOINE ST, STE 304
DETROIT, MI 48201
Wayne County (313) 745-0499

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 Brent W Gillum D O Plc's NPI number?

The NPI number for Brent W Gillum D O Plc is 1710926670. It was assigned to this organization in the NPPES registry on June 6, 2006.

Where is Brent W Gillum D O Plc located?

Brent W Gillum D O Plc is located at 4727 Saint Antoine St Suite 210, Detroit, MI 48201. The listed phone number is (313) 831-3066.

What is Brent W Gillum D O Plc's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Brent W Gillum D O Plc was last updated on November 7, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.