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

Q: 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.

Q: What is Brian Graham's specialty?

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

Q: 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.

Active since April 20, 2021Accepts Medicare Assignment

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: August 30, 2026.

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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 and is a graduate of Other (2014).

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

Phone(248) 858-3000

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

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

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Secondary Practice Location 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brian Graham is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022544246

PECOS Enrollment IDI20241211003978

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. KRASSIMIR LALEV DENCHEV M.D.

Anesthesiology (Critical Care Medicine)