OrganizationBrookside Health Center, P.C.General PracticeAllopathic & Osteopathic PhysiciansPractice Address8790 Telegraph Rd, Taylor, MI 48180-2491(313) 295-2520PECOS EnrollmentBased on the most recent information from CMS, provider Brookside Health Center, P.C. does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1437182557Provider TypeOrganizationFull NameBrookside Health Center, P.C.SubpartNoEnumeration Date7/9/2006Last Updated1/16/2008Contact InformationPractice LocationPractice Address8790 Telegraph Rd, Taylor, MI 48180-2491Phone(313) 295-2520Fax(313) 581-0228Mailing LocationMailing Address8790 Telegraph Rd, Taylor, MI 48180-2491Phone(313) 295-2520Fax(313) 581-0228Authorized OfficialNameSaffer, Mark B (Ceo)Phone(313) 291-2520Provider TaxonomiesCodeDescriptionLicenseCode208D00000XPrimaryDescriptionGeneral PracticeAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode207RR0500XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode207V00000XDescriptionObstetrics & GynecologyAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode207Y00000XDescriptionOtolaryngologyAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode208000000XDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID0Q26079DescriptionOtherIssuerBCBSMMichiganID4192187DescriptionMedicaidIssuerUnlistedMichiganID4456777DescriptionMedicaidIssuerUnlistedMichiganID4182654DescriptionMedicaidIssuerUnlistedMichiganID4591234DescriptionMedicaidIssuerUnlistedMichiganID3078099DescriptionMedicaidIssuerUnlistedMichigan