Organization Active NPI

Bharat Tolia MD PC

  • Neurology Physician
  • Bloomfield Hills, MI
National Provider Identifier
1053364463
Registry record updated Jan 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
4301041039 Issued in MI
Legal business name
BHARAT TOLIA MD PC
Practice address
2550 Telegraph Road
Suite 235
Bloomfield Hills, MI 48302-0909
Phone
(248) 334-0115
Fax
(248) 334-3338
NPI assigned
May 18, 2006
Last updated
Jan 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2008

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

Authorized official

Name
Bharat Tolia, MDNPI 1770535171
Title
President
Phone
(248) 334-0115

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 4301041039 MI Primary

Addresses

Primary practice location

2550 Telegraph Road
Suite 235
Bloomfield Hills, MI 48302-0909

Mailing address

2550 Telegraph Road
Suite 235
Bloomfield Hills, MI 48302-0909
Phone (248) 334-0115

Other identifiers 1

IdentifierTypeStateIssuer
1379674MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060619000177 MI Part B Supplier - Clinic/Group Practice 7113939943 Receives reassigned benefits from 1 practitioner
Practice locations: Bloomfield Hills, MI; Bloomfield TWP, MI; Pontiac, MI

National Provider Directory

National Provider Directory

Locations

2550 S Telegraph Rd
Ste 23
Bloomfld Hls, MI 48302
Phone (248) 334-0115

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200009600000",
    "number": "1053364463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 TELEGRAPH ROAD",
            "address_2": "SUITE 235",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020909",
            "telephone_number": "248-334-0115",
            "fax_number": "248-334-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 TELEGRAPH ROAD",
            "address_2": "SUITE 235",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020909",
            "telephone_number": "248-334-0115",
            "fax_number": "248-334-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BHARAT TOLIA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2008-01-11",
        "status": "A",
        "authorized_official_last_name": "TOLIA",
        "authorized_official_first_name": "BHARAT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-334-0115",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "4301041039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1379674",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.