Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brian Graham

Individual provider Speech-Language Pathologist · NPI 1790366771

Brian Graham is a Qualified Speech Language Pathologist in Pontiac, Michigan. Qualified in 2014, 12 years ago. Practices with Legacy Healthcare Services Inc, a 3,624-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
12
Licensed in
MI
In the registry since
2021
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Practice location Address checks out

44405 Woodward Ave
Pontiac, MI 48341-5023
Phone: (248) 858-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 36475 Five Mile Rd, Livonia, MI 48154-1971 — (734) 655-4800

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 7101006860 (MI)

Record details

NPI number1790366771
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 20, 2021
Last updated in NPPESApril 20, 2021
Certification dateApril 20, 2021
Mailing address34505 W 12 Mile Rd Ste 200, Farmington Hills, MI 48331-3286

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Legacy Healthcare Services Inc — 3624 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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