BRIAN GRAHAM
NPI 1790366771
Speech-Language Pathologist in Pontiac, MI

Active since April 20, 2021
44405 WOODWARD AVE, PONTIAC, MI 48341(248) 858-3000 Get Directions Write a Review

NPPES record last updated: April 20, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Brian Graham NPPES

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

BRIAN GRAHAM (NPI 1790366771) is an individual speech-language pathologist provider in Pontiac, Michigan, licensed in Michigan (7101006860) and active in the NPI registry since April 2021. He maintains a secondary practice location in Livonia.

NPPES Registry Identity

NPI1790366771
Entity TypeIndividualMale
Primary Taxonomy235Z00000X
Provider Legal NameBRIAN GRAHAM
Location Address44405 WOODWARD AVEPontiac, MI 48341-5023
Mailing Address34505 W 12 Mile Rd Ste 200Farmington Hills, MI 48331-3286
Sole ProprietorNo
Enumeration DateApril 20, 2021
NPPES CertifiedApril 20, 2021
✔ NPI 1790366771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in MI · 7101006860
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
44405 WOODWARD AVE, Pontiac, MI 48341

Secondary Practice Location 1

Location 136475 Five Mile RdLivonia, MI 48154-1971 · Phone (734) 655-4800

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brian Graham is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Brian Graham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
568 N PINE RD
Bay City, MI 48708
  • Reassigned Medicare billing, Michigan enrollment
  • 57 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Anesthesiology (Critical Care Medicine)
44405 WOODWARD AVE
PONTIAC, MI 48341
General Acute Care Hospital
44405 WOODWARD AVE
PONTIAC, MI 48341
Advanced Practice Midwife
44405 WOODWARD AVE
PONTIAC, MI 48341
Student in an Organized Health Care Education/Training Program
44405 WOODWARD AVE
PONTIAC, MI 48341
Internal Medicine (Critical Care Medicine)
44405 WOODWARD AVE
PONTIAC, MI 48341
Dentist
44405 WOODWARD AVE
PONTIAC, MI 48341
Surgery
44405 WOODWARD AVE
PONTIAC, MI 48341
Radiology (Diagnostic Radiology)
44405 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 Brian Graham's NPI number?

The NPI number for Brian Graham is 1790366771. It was assigned to this individual provider in the NPPES registry on April 20, 2021.

Where is Brian Graham located?

Brian Graham practices at 44405 Woodward Ave, Pontiac, MI 48341. The listed phone number is (248) 858-3000.

What is Brian Graham's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Brian Graham enrolled in Medicare?

Yes. Brian Graham is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Brian Graham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Graham reassigns Medicare benefits to Legacy Healthcare Services Inc (Bay City, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brian Graham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Brian Graham was last updated on April 20, 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.