Organization Active NPI

Ben Gold, MD, PC

  • Allergy Physician
  • Ypsilanti, MI
National Provider Identifier
1013180900
Registry record updated Apr 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
4301042344 Issued in MI
Legal business name
BEN GOLD, MD, PC
Practice address
4870 W Clark Rd
Suite 203
Ypsilanti, MI 48197-1104
Phone
(737) 434-6050
Fax
(734) 434-9721
NPI assigned
Apr 11, 2008
Last updated
Apr 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2008

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

Authorized official

Name
Dr. Bernard Gold, M.D.
Title
President
Phone
(734) 434-6050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X 4301042344 MI Primary

Addresses

Primary practice location

4870 W Clark Rd
Suite 203
Ypsilanti, MI 48197-1104

Mailing address

4870 W Clark Rd
Suite 203
Ypsilanti, MI 48197-1104
Phone (737) 434-6050

Other identifiers 1

IdentifierTypeStateIssuer
2774487MedicaidMI

National Provider Directory

National Provider Directory

Locations

420 W Russell St
Ste 202
Saline, MI 48176
Phone (734) 429-1515

4870 W Clark Rd
Ste 203
Ypsilanti, MI 48197
Phone (734) 434-6050

NPI Registry JSON

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207872000000",
    "number": "1013180900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4870 W CLARK RD",
            "address_2": "SUITE 203",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971104",
            "telephone_number": "737-434-6050",
            "fax_number": "734-434-9721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4870 W CLARK RD",
            "address_2": "SUITE 203",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971104",
            "telephone_number": "737-434-6050",
            "fax_number": "734-434-9721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEN GOLD, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-11",
        "last_updated": "2008-04-11",
        "status": "A",
        "authorized_official_last_name": "GOLD",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-434-6050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "MI",
            "license": "4301042344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2774487",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; 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.