Organization Active NPI

Bam Management

Doing business as Accelerated Innovative Recovery

  • Clinic/Center
  • Utica, MI
National Provider Identifier
1053809145
Registry record updated Apr 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
BAM MANAGEMENT
Doing business as
Accelerated Innovative Recovery
Practice address
13433 Hall Road
Utica, MI 48315
Phone
(844) 422-6648
NPI assigned
Apr 25, 2018
Last updated
Apr 25, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2018

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

Authorized official

Name
Brett MasserantNPI 1609537448
Title
President
Phone
(586) 604-6801

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

13433 Hall Road
Utica, MI 48315

Mailing address

13433 Hall Road
Utica, MI 48315

Other names 1

  • Accelerated Innovative Recovery Doing business as

National Provider Directory

National Provider Directory

Locations

13433 Hall Rd
Utica, MI 48315
Phone (844) 422-6648

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": "1524614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524614400000",
    "number": "1053809145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13433 HALL ROAD",
            "city": "UTICA",
            "state": "MI",
            "postal_code": "48315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13433 HALL ROAD",
            "city": "UTICA",
            "state": "MI",
            "postal_code": "48315",
            "telephone_number": "844-422-6648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAM MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-25",
        "last_updated": "2018-04-25",
        "status": "A",
        "authorized_official_last_name": "MASSERANT",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-604-6801"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Accelerated Innovative Recovery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Accelerated Innovative Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Utica, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2018; 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.