Bloomfield Medpointe Urgent Care Walk in Clinic PC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

BLOOMFIELD MEDPOINTE URGENT CARE WALK IN CLINIC PC

Practice address

4297 Orchard Lake Rd Ste 250
West Bloomfield, MI 48323-1602

Phone

(734) 658-2956

NPI assigned

Aug 24, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Shahroz Adil, MD

Title

Ceo

Phone

(734) 658-2956

Specialties & licenses 1

Addresses

Electronic endpoints 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629763200000",
    "number": "1003583485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5844 GRANBY LN",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481870047",
            "telephone_number": "734-658-2956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4297 ORCHARD LAKE RD STE 250",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483231602",
            "telephone_number": "734-658-2956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMFIELD MEDPOINTE URGENT CARE WALK IN CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-24",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-22",
        "status": "A",
        "authorized_official_last_name": "ADIL",
        "authorized_official_first_name": "SHAHROZ",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "734-658-2956",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "Healthfusion",
            "affiliation": "N",
            "address_1": "4297 Orchard Lake Rd Ste 250",
            "city": "West Bloomfield",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483231602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Urgent Care Clinic/Center in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Urgent Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.