Bruce Belfonta Marks, CAC-M

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

17357 Klinger St
Detroit, MI 48212-1035

Phone

(313) 893-3454

Fax

(313) 893-3454

NPI assigned

Jun 15, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Cobap Substance Abusetreatment & Prevention Program

  • Substance Abuse Rehabilitation Facility
  • Detroit, MI
  • NPI 1386778272
  NPD (past)

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

{
    "created_epoch": "1276560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276560000000",
    "number": "1063733996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17357 KLINGER ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482121035",
            "telephone_number": "313-893-3454",
            "fax_number": "313-893-0713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17357 KLINGER ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482121035",
            "telephone_number": "313-893-3454",
            "fax_number": "313-893-3454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKS",
        "first_name": "BRUCE",
        "middle_name": "BELFONTA",
        "name_prefix": "Mr.",
        "credential": "CAC-M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-15",
        "last_updated": "2010-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Markoff, PHD
• Sevan Markosian
• Norman P. Markowitz, M.D.
• Kelley Ann Markowski, N.P.
• Bertena Epholia Marks, CERTIFIED RECOVERY P
• Jennifer Ayoub Marks, CRNA
• Keara J Marks
• Robert Marks, M.A./CAADC
• Angela Marie Marlow, PA-C
• Sussanne J Marmol de Martin

• Addiction (Substance Use Disorder) Counselor in Detroit, MI
• Providers in Detroit, MI by specialty
• Addiction (Substance Use Disorder) Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; 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.