Henry Ford West Bloomfield Physicians

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

HENRY FORD WEST BLOOMFIELD PHYSICIANS

Practice address

6777 W Maple Rd
West Bloomfield, MI 48322-3013

Phone

(248) 325-1000

NPI assigned

Nov 7, 2014

Last updated

Nov 11, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brian Gamble

Title

Cfo

Phone

(248) 325-1000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1415318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415664000000",
    "number": "1215333976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 674852",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482674852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6777 W MAPLE RD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223013",
            "telephone_number": "248-325-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY FORD WEST BLOOMFIELD PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-07",
        "last_updated": "2014-11-11",
        "status": "A",
        "authorized_official_last_name": "GAMBLE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "248-325-1000"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry Ford Hospital
• Henry Ford Maplegrove Center (Henry Ford Health System)
• Henry Ford West Bloomfield Hospital (Henry Ford West Bloomfield-Employed Physicians)
• Henry Ford West Bloomfield Hospital
• Henry Ford West Bloomfield Hospital (Henry Ford West Bloomfield-Chiropractic)
• Henry's Medical Equipment, LLC
• Danielle Henzie, DO
• Amanda Cruz Herberg
• Jyothsna I Herek, M.D.
• Marci Herman

• General Practice Physician in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• General Practice Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.