Organization Active NPI

Bedside Medical Management, LLC

  • Dermatology Physician
  • Warren, MI
National Provider Identifier
1225301070
Registry record updated Feb 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
BEDSIDE MEDICAL MANAGEMENT, LLC
Practice address
13450 E 12 Mile Rd
Warren, MI 48088-3671
Phone
(586) 759-5525
Fax
(586) 759-4765
NPI assigned
Feb 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2012

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

Authorized official

Name
Dr. Steven K Grekin, D.O.
Title
President
Phone
(586) 759-5525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

13450 E 12 Mile Rd
Warren, MI 48088-3671

Mailing address

13450 E 12 Mile Rd
Warren, MI 48088-3671
Phone (586) 759-5525

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1328745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328745600000",
    "number": "1225301070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13450 E 12 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480883671",
            "telephone_number": "586-759-5525",
            "fax_number": "586-759-4765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13450 E 12 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480883671",
            "telephone_number": "586-759-5525",
            "fax_number": "586-759-4765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEDSIDE MEDICAL MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-09",
        "last_updated": "2012-02-09",
        "status": "A",
        "authorized_official_last_name": "GREKIN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-759-5525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; 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.