NPIMap

Organization Active NPI

Regional Medical Group, PC

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Bingham Farms, MI
National Provider Identifier
1093133365
Registry record updated Apr 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
5101010952 Issued in MI
Legal business name
REGIONAL MEDICAL GROUP, PC
Practice address
30600 Telegraph Rd
Suite 1131
Bingham Farms, MI 48025-4530
Phone
(248) 321-6612
NPI assigned
Apr 2, 2014
Last updated
Apr 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2014

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

Authorized official

Name
Jeff S Pierce, DO
Title
Director
Phone
(248) 321-6612

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 5101010952 MI Primary

Addresses

Primary practice location

30600 Telegraph Rd
Suite 1131
Bingham Farms, MI 48025-4530

Mailing address

30600 Telegraph Rd
Suite 1131
Bingham Farms, MI 48025-4530
Phone (248) 321-6612

National Provider Directory

National Provider Directory

Locations

30600 Telegraph Rd
Ste 1131
Bingham Farms, MI 48025
Phone (248) 321-6612

NPI Registry JSON

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396396800000",
    "number": "1093133365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30600 TELEGRAPH RD",
            "address_2": "SUITE 1131",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254530",
            "telephone_number": "248-321-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30600 TELEGRAPH RD",
            "address_2": "SUITE 1131",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254530",
            "telephone_number": "248-321-6612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL MEDICAL GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-02",
        "last_updated": "2014-04-02",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "248-321-6612",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "MI",
            "license": "5101010952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bingham Farms, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; 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.