Roderick Claybrooks
Orthopaedic Spine Surgeon
22250 Providence Dr Suite 601
Southfield
, Michigan 48075-4825
Roderick Claybrooks
Orthopaedic Spine Surgeon
22250 Providence Dr Suite 601
Southfield
, Michigan 48075-4825
(248) 569-4539
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About
Features
Specialties
- Orthopaedic Spine Surgeon
Languages spoken
- English
Location
First Address
- Roderick Claybrooks
- 22250 Providence Dr Suite 601
- Southfield, MI
- Zip : 48075-4825
- Fax : (248) 569-4539
- Phone : (248) 569-7745
Second Address
- Roderick Claybrooks
- 22250 Providence Dr Suite 601
- Southfield, MI
- Zip : 48075-4825
- Fax : (248) 569-4539
- Phone : (248) 569-7745
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XS0117X | Orthopaedic Spine Surgeon | 4301074231 | MI |
National Provider Identifier
| NPI | 1255325684 |
|---|---|
| Provider Name | Roderick Claybrooks |
| First Address | Southfield, MI 48075-4825 |
| Second Address | Southfield, MI 48075-4825 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/08/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 024520 | MIDWEST (01) | MI |
| 12897 | CAPE (01) | MI |
| 141817 | CARE CHOICES (01) | MI |
| 150941 | GREAT LAKES (01) | MI |
| 17348 | MCARE (01) | MI |
| 4781570 | (05) | MI |
| 59938 | OMNICARE (01) | MI |
| 607926000 | OCWP (01) | MI |
| 630511 | BLUE CROSS NETWORK (01) | MI |
| 7542611 | AETNA (01) | MI |
| L14462 | (02) | MI |
| P00271654 | RDMC (01) | MI |
| RC074231 | BCBS (01) | MI |
| TAX I.D. | 20-0440211 (01) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.