Individual provider Active NPI

Timothy Garrett Purman, MD

  • Pediatrics Physician
  • Linden, MI
National Provider Identifier
1265540702
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301072286 Issued in MI
Practice address
120 N Bridge St Ste D
Linden, MI 48451-8823
Phone
(810) 287-4643
Fax
(810) 458-4634
NPI assigned
Aug 25, 2006
Last updated
Jul 27, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4301072286 MI Primary

Addresses

Primary practice location

120 N Bridge St Ste D
Linden, MI 48451-8823

Mailing address

120 N Bridge St Ste D
Linden, MI 48451-8823
Phone (810) 287-4643

Other names 1

  • T. Garrett Purman Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170126002373 MI Practitioner - Pediatric Medicine 7719269778 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301072286MIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Pediatricians Pediatrics CurrentSince Dec 25, 2016 Accepting new patients
Positively Pediatrics PLLC Pediatrics CurrentSince Aug 1, 2021 Accepting new patients
University Pediatricians Pediatrics CurrentSince Dec 25, 2016 Accepting new patients

Locations

3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227

120 N Bridge St
Ste D
Linden, MI 48451
Phone (248) 939-2482

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22166/brand/1/csg/1/fhir/r4
  • Direct secure messaging: timothy.purman.1@22166.direct.athenahealth.com
  • Direct secure messaging: tpurman@direct.dmc.org
  • Direct secure messaging: tpurman61704@direct.hfhs.org

Organizations & group practices 3

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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1265540702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N BRIDGE ST STE D",
            "city": "LINDEN",
            "state": "MI",
            "postal_code": "484518823",
            "telephone_number": "810-287-4643",
            "fax_number": "810-458-4634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N BRIDGE ST STE D",
            "city": "LINDEN",
            "state": "MI",
            "postal_code": "484518823",
            "telephone_number": "810-287-4643",
            "fax_number": "810-458-4634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURMAN",
        "first_name": "TIMOTHY",
        "middle_name": "GARRETT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301072286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "T.",
            "last_name": "PURMAN",
            "middle_name": "GARRETT",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Linden, MI

Sources for this page

Verify at the official NPI Registry.