Organization Active NPI

Navihealth Michigan HBPC, PC

  • Internal Medicine Physician
  • Southfield, MI
National Provider Identifier
1124651435
Registry record updated May 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NAVIHEALTH MICHIGAN HBPC, PC
Practice address
2 Towne SQ Ste 275
Southfield, MI 48076-3719
Phone
(615) 577-1933
NPI assigned
Feb 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2020

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

Authorized official

Name
Denise Ceule, JURIS DOCTOR
Title
Secretary
Phone
(615) 577-1933

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QG0300X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X

Addresses

Primary practice location

2 Towne SQ Ste 275
Southfield, MI 48076-3719

Mailing address

210 Westwood PL Ste 400
Brentwood, TN 37027-7554
Phone (615) 577-1933

National Provider Directory

National Provider Directory

Locations

2 Towne Sq
Ste 275
Southfield, MI 48076
Phone (586) 907-1257

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1581638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588723200000",
    "number": "1124651435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 WESTWOOD PL STE 400",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277554",
            "telephone_number": "615-577-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 TOWNE SQ STE 275",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480763719",
            "telephone_number": "615-577-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAVIHEALTH MICHIGAN HBPC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-14",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A",
        "authorized_official_last_name": "CEULE",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "615-577-1933",
        "authorized_official_credential": "JURIS DOCTOR"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; 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.