Active NPI
Bridget M Pekrul, M.D.
- Pediatrics Physician
- Ann Arbor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 4301090110
- Practice address
- 1500 E Medical Center Drive
12TH Floor CS Mott Childrens Hospital Room 525
Ann Arbor, MI 48109-4280 - Phone
- (734) 763-5302
- NPI assigned
- Jun 27, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301090110 | MI | |
| Pediatrics Physician | 208000000X | 4301090110 | MI | Primary |
| Pediatric Hospice and Palliative Medicine Physician | 2080H0002X | 4301090110 | MI | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 43301090110 | MI |
Addresses
Primary practice location
1500 E Medical Center Drive
12TH Floor CS Mott Childrens Hospital Room 525
Ann Arbor, MI 48109-4280
Mailing address
3621 S State St
700 KMS Place
Ann Arbor, MI 48108
Phone (734) 936-2047
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43301090110 | MI | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Baltimore Medical Center, Inc. | Current | Accepting new patients | |
| Gilchrist Hospice Care, Inc. | Current | Accepting new patients | |
| Greater Baltimore Medical Center, Inc | Current | Accepting new patients | |
| Gilchrist Hospice Care, Inc. | Current | Accepting new patients | |
| Greater Baltimore Medical Center, Inc. | Current | Accepting new patients |
Locations
6569 N Charles St
Ste 307
Towson, MD 21204
Phone (443) 849-2767
6701 N Charles St
Ste 4105
Towson, MD 21204
Phone (443) 849-3184
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Gilchrist Elder Medical Care
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- NPI 1871069799
-
dba GBMC Dept of OBGYN, L&D
- Obstetrics & Gynecology Physician
- Baltimore, MD
- NPI 1891855763
-
- Geriatric Medicine (Internal Medicine) Physician
- Lanham Seabrook, MD
- NPI 1588412241
-
dba Richard E. Hoover Low Vision Rehabilitation Services
- Ophthalmology Physician
- Baltimore, MD
- NPI 1164675906
-
- Sleep Medicine (Internal Medicine) Physician
- Baltimore, MD
- NPI 1538029731
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434412800000",
"number": "1124225990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3621 S STATE ST",
"address_2": "700 KMS PLACE",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "48108",
"telephone_number": "734-936-2047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 E MEDICAL CENTER DRIVE",
"address_2": "12TH FLOOR CS MOTT CHILDRENS HOSPITAL ROOM 525",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481094280",
"telephone_number": "734-763-5302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEKRUL",
"first_name": "BRIDGET",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-27",
"last_updated": "2015-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301090110",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4301090110",
"primary": true
},
{
"code": "2080H0002X",
"taxonomy_group": "",
"desc": "Pediatrics, Hospice and Palliative Medicine",
"state": "MI",
"license": "4301090110",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MI",
"license": "43301090110",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.