Individual provider Active NPI

Bahram Nadim, PT

  • Physical Therapist
  • West Bloomfield, MI
National Provider Identifier
1053062208
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501005346 Issued in MI
Practice address
7125 Orchard Lake Rd Ste 303
West Bloomfield, MI 48322-3620
Phone
(248) 310-2438
NPI assigned
Jan 10, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT32739 CA
Physical Therapist 225100000X 5501005346 MI Primary

Addresses

Primary practice location

7125 Orchard Lake Rd Ste 303
West Bloomfield, MI 48322-3620

Mailing address

7325 Rafford LN
West Bloomfield, MI 48322-3192
Phone (248) 310-2438

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT32739CAMDPhysical Therapist
5501005346MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Royalcare, Inc. CurrentSince Jan 21, 2022 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1053062208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7325 RAFFORD LN",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223192",
            "telephone_number": "248-310-2438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7125 ORCHARD LAKE RD STE 303",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223620",
            "telephone_number": "248-310-2438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADIM",
        "first_name": "BAHRAM",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT32739",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501005346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.