Mobile Wellness

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

License

5901001148 Issued in MI

Legal business name

MOBILE WELLNESS

Practice address

373 Adams CT
Ferndale, MI 48220-2423

Phone

(248) 547-3260

NPI assigned

Nov 20, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Denise Bradford Henry, DPM

Title

Director

Phone

(248) 792-1316

Specialties & licenses 2

Addresses

Other names 1

• Mobile Wellness Other name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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

• Joyce Denise Bradford, DPM

  • Podiatrist
  • Southfield, MI
  • NPI 1710107701
  Medicare reassignment NPD

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

{
    "created_epoch": "1258675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262131200000",
    "number": "1255669792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480370781",
            "telephone_number": "248-547-3260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 ADAMS CT",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482202423",
            "telephone_number": "248-547-3260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-20",
        "last_updated": "2009-12-30",
        "status": "A",
        "authorized_official_last_name": "BRADFORD HENRY",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "248-792-1316",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "MI",
            "license": "5901001148",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "MI",
            "license": "5901001148",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mobile Wellness",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Joel Adrian Milliner, M.D.
• Samuel Miners, LLMSW
• Michelle Cara Mirkes, MA, LPC
• Laurie-Ann Cadene Mitchell
• Erica E Mitra, NBHWC
• Stacey Lyn Molinaro, LMSW
• Dana Katharine Monforton, LLP
• Abraham Motola, O.D., M.A.
• Mr Eyeglassman Optical Services
• Alyssa Suzanne Mull, CNM

• Podiatric Clinic/Center in Ferndale, MI
• Providers in Ferndale, MI by specialty
• Podiatric Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.