MEDICARE: DR. LAURA BRAINARD MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Y00000X	Otolaryngology Physician	4301111327	MI

General Provider Information

NPI Number	:	1841339850
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAURA BRAINARD MD

Provider Business Mailing Address
First Line	:	4840 INVERAY RD
Second Line	:
City	:	BLOOMFIELD HILLS
State	:	MI
Zip	:	48301-1012
Country	:	US
Telephone Number	:	505-238-9728
Fax Number	:

Provider Business Practice Location Address
First Line	:	WEST BLOOMFIELD HOSPITAL DEPARTMENT OF OTOLARYNGOLOGY
Second Line	:	6777 W. MAPLE
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48322
Country	:	US
Telephone Number	:	248-325-1000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2007
Last Update Date	:	04/27/2026

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