Individual provider Active NPI

Tudor R Tien, M.D.

  • Orthopaedic Surgery Physician
  • Brighton, MI
National Provider Identifier
1033101225
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
4301084403 Issued in MI
Practice address
2305 Genoa Business Park Dr Ste 170
Brighton, MI 48114-7005
Phone
(810) 299-8551
Fax
(810) 844-0837
NPI assigned
Aug 16, 2005
Reactivated
Apr 27, 2006
Last updated
Mar 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 4301084403 MI
Orthopaedic Surgery Physician 207X00000X 4301084403 MI Primary

Addresses

Primary practice location

2305 Genoa Business Park Dr Ste 170
Brighton, MI 48114-7005

Mailing address

PO Box 67000
Department 272801
Detroit, MI 48267-0002
Phone (517) 841-1431

Other practice location 1

861 Health Park Blvd
Grand Blanc, MI 48439-7383
Phone (810) 953-0500

Other identifiers 5

IdentifierTypeStateIssuer
0920018OtherMIPHYSICIALS HEALTH PLAN
5392560001OtherMIMEDICARE DMERC
2003810541OtherMIBLUE CROSS BLUE SHIELD MI
P118495OtherMABLUE CARE NETWORK
700C810580OtherMIBC - FOOTE

Other names 1

  • Dr. Tudor R Tien Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040930000412 MI Practitioner - Orthopedic Surgery 1759350432 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Orthopedic Specialists, PCGroup PAC ID 4981697976, 11 clinicians
Greater Flint Sports Medicine Center PCGroup PAC ID 2264332097, 11 clinicians
Eaton Rapids Medical CenterGroup PAC ID 5991692634, shared by 4 NPIs, 34 clinicians

Practice addresses (Care Compare)

2305 Genoa Business Park Dr
Suite 170
Brighton, MI 48114-7005
Phone (810) 299-8550

861 Health Park Blvd
Grand Blanc, MI 48439-7383
Phone (810) 953-0500

956 Cooper St
Jackson, MI 49202-3398
Phone (517) 998-6574

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Eaton Rapids Medical Center CurrentSince Dec 1, 2025 Accepting new patients
W.a. Foote Memorial Hospital, Inc Orthopaedic Surgery CurrentSince Dec 1, 2006 Accepting new patients
Eaton Rapids Medical Center CurrentSince Dec 1, 2025 Accepting new patients
W.a. Foote Memorial Hospital, Inc CurrentSince Dec 1, 2006 Accepting new patients
Eaton Rapids Medical Center Current Accepting new patients
Advanced Orthopedic Specialists PC Orthopaedic Surgery CurrentSince Apr 1, 2026 Accepting new patients
W. a. Foote Memorial Hospital, Inc Current Accepting new patients
Henry Ford Pathology Current Accepting new patients

Locations

2305 Genoa Business Park Dr
Ste 170
Brighton, MI 48114
Phone (810) 299-8550

1500 S Main St
Eaton Rapids, MI 48827
Phone (517) 663-2671

1100 E Michigan Ave
Ste 308
Jackson, MI 49201
Phone (517) 780-9257

1201 E Michigan Ave
Ste 300
Jackson, MI 49201
Phone (517) 205-1431

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

813 W Michigan Ave
Jackson, MI 49202
Phone (517) 205-1000

956 Cooper St
Jackson, MI 49202
Phone (517) 787-3900

Interoperability endpoints

  • Direct secure messaging: ttien@gmo2200.srs-direct.com
  • Direct secure messaging: ttien449487@direct.hfhs.org
  • Direct secure messaging: tudortien@gmoortho.directglo.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1033101225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 67000",
            "address_2": "DEPARTMENT 272801",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482670002",
            "telephone_number": "517-841-1431",
            "fax_number": "517-841-1432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 GENOA BUSINESS PARK DR STE 170",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481147005",
            "telephone_number": "810-299-8551",
            "fax_number": "810-844-0837"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "861 Health Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Grand Blanc",
            "state": "MI",
            "postal_code": "484397383",
            "country_code": "US",
            "telephone_number": "810-953-0500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIEN",
        "first_name": "TUDOR",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "deactivation_date": "2006-03-22",
        "reactivation_date": "2006-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301084403",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "4301084403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIALS HEALTH PLAN",
            "identifier": "0920018",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DMERC",
            "identifier": "5392560001",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MI",
            "identifier": "2003810541",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "P118495",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC - FOOTE",
            "identifier": "700C810580",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TUDOR",
            "last_name": "TIEN",
            "middle_name": "R",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Brighton, MI

Sources for this page

Verify at the official NPI Registry.