NPIMap

Organization Active NPI

Oakland Digestive Disease,PLLC

  • Specialist
  • Pontiac, MI
National Provider Identifier
1194011643
Registry record updated Oct 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
4301091849 Issued in MI
Legal business name
OAKLAND DIGESTIVE DISEASE,PLLC
Practice address
44555 Woodward Ave
Ste 304
Pontiac, MI 48341-5035
Phone
(248) 858-3878
Fax
(248) 209-6777
NPI assigned
Jun 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2015

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

Authorized official

Name
Mr. Brian J Markle, M.D.
Title
Medical Doctor
Phone
(248) 858-3878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 4301091849 MI Primary

Addresses

Primary practice location

44555 Woodward Ave
Ste 304
Pontiac, MI 48341-5035

Mailing address

4455 Woodward Ave
Suite 304
Pontiac, MI 48341-5022
Phone (248) 858-3878

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 6

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": "1308787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445904000000",
    "number": "1194011643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4455 WOODWARD AVE",
            "address_2": "SUITE 304",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483415022",
            "telephone_number": "248-858-3878",
            "fax_number": "248-209-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44555 WOODWARD AVE",
            "address_2": "STE 304",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483415035",
            "telephone_number": "248-858-3878",
            "fax_number": "248-209-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKLAND DIGESTIVE DISEASE,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-23",
        "last_updated": "2015-10-27",
        "status": "A",
        "authorized_official_last_name": "MARKLE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "248-858-3878",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301091849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pontiac, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; 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.