Individual provider Active NPI

Blair Joseph Globerman, DC

  • Chiropractor
  • Commerce TWP, MI
National Provider Identifier
1235607771
Registry record updated Nov 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010722 Issued in MI
Practice address
2685 Union Lake Rd
Commerce TWP, MI 48382-3560
Phone
(248) 366-6378
NPI assigned
Nov 2, 2018
Last updated
Nov 2, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301010722 MI Primary

Addresses

Primary practice location

2685 Union Lake Rd
Commerce TWP, MI 48382-3560

Mailing address

4120 Golf Ridge Dr E
Bloomfield Hills, MI 48302-1727
Phone (248) 721-6940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181116000644 MI Practitioner - Chiropractic 9032463765 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
A Rodnick Chiropractic PCGroup PAC ID 5890094197, 3 clinicians

Practice addresses (Care Compare)

2685 Union Lake Rd
Commerce Township, MI 48382-3560
Phone (248) 366-6378

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
A Rodnick Chiropractic PC Chiropractor CurrentSince Nov 7, 2018 Accepting new patients

Locations

2685 Union Lake Rd
Commerce Twp, MI 48382
Phone (248) 366-6378

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1541116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541116800000",
    "number": "1235607771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 GOLF RIDGE DR E",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483021727",
            "telephone_number": "248-721-6940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2685 UNION LAKE RD",
            "city": "COMMERCE TWP",
            "state": "MI",
            "postal_code": "483823560",
            "telephone_number": "248-366-6378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOBERMAN",
        "first_name": "BLAIR",
        "middle_name": "JOSEPH",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-02",
        "last_updated": "2018-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.