Organization · Type 2 NPI

Med Sports Vantage PLLC

Family Medicine Physician · Brighton, MI

NPI number 1326587114 Active

Practice location

210 S East St Ste 2
Brighton, MI 48116-1592

Call (810) 626-3036 Map

Fax (810) 202-1130

Other practice locations

2900 E Grand River Ave Ste 100, Howell, MI 48843-8559 · (810) 626-3036

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed
Addiction Medicine (Internal Medicine) Physician	207RA0401X	5601003608 (MI)
Medical Specialty Clinic/Center	261QM2500X	5601003608 (MI)
Primary Care Clinic/Center	261QP2300X	None listed
Physician Assistant	363A00000X	5601003608 (MI)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3 other providers at this address

Other family medicine physician providers in Brighton

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NPI record

NPI: 1326587114
Entity type: Organization (Type 2)
Issued: Feb 14, 2017
Last updated: Oct 10, 2026
Status: Active

Other names

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Med Sports Vantage · doing business as
Med Sports Vantage PLLC · doing business as
Med Sports Vantage PLLC · doing business as

Authorized official

Rachel Lethorn, PA-C
CEO / Owner
(810) 626-3036

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1326587114

Med Sports Vantage PLLC's National Provider Identifier is 1326587114, issued on Feb 14, 2017. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Brighton, MI. The record was last updated on Oct 10, 2026.