# BRIGHTMOOR MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649490558
- **Authorized official:** MR. ALEX PICKENS III (DIRECTOR OF DEVELOPMENT)
- **Authorized official phone:** (313) 534-6611

## Contact information

- **Practice address:** 20510 FENKELL ROAD, DETROIT, MI 48223-1613
- **Practice address phone:** (313) 534-6611
- **Practice address fax:** (313) 534-2525
- **Mailing address:** 20510 FENKELL ST, PO BOX 23035, DETROIT, MI 48223-1613
- **Mailing address phone:** (313) 534-6611
- **Mailing address fax:** (313) 534-2525

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VH0002X | Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician | 4301038348 | MI | Yes |

## Other

- **Enumeration date:** 04/26/2007
- **Last updated:** 09/07/2011