Elijah M. Frederick Redman, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301010379 Issued in MI

Practice address

31444 Bretz Dr
Warren, MI 48093-1639

Phone

(517) 648-6070

NPI assigned

Apr 11, 2016

Sex

Male

Sole proprietor

Yes

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

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Nextlevel Chiropractic, P.C.

  • Chiropractor
  • Troy, MI
  • NPI 1699532804
  Medicare reassignment NPD

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460332800000",
    "number": "1073977575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31444 BRETZ DR",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480931639",
            "telephone_number": "517-648-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31444 BRETZ DR",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480931639",
            "telephone_number": "517-648-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDMAN",
        "first_name": "ELIJAH",
        "middle_name": "M. FREDERICK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-11",
        "last_updated": "2016-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naseem Razoki
• Michelle Reavely
• Steven Roy Rector, MSW, LMSW
• Shautoya Redding
• Lavanya Reddy, MD
• Unique Reed
• Linda M Regal-Tharp, CRNA
• Madison Regier
• Rehab Experts LLC.
• Rehabilitation Centers of Michigan

• Chiropractor in Warren, MI
• Providers in Warren, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.