Family Medicine Obstetrics of Northville

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

4301084582 Issued in MI

Legal business name

FAMILY MEDICINE OBSTETRICS OF NORTHVILLE

Practice address

422 N Center St
Northville, MI 48167-1224

Phone

(248) 348-1131

Fax

(248) 348-1170

NPI assigned

Aug 12, 2011

Organization subpart

No

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

Authorized official

Name

Robert Brummeler, MD

Title

Physician

Phone

(248) 348-1131

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1313107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315440000000",
    "number": "1275812844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 N CENTER ST",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481671224",
            "telephone_number": "248-348-1131",
            "fax_number": "248-348-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 N CENTER ST",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481671224",
            "telephone_number": "248-348-1131",
            "fax_number": "248-348-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICINE OBSTETRICS OF NORTHVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-12",
        "last_updated": "2011-09-08",
        "status": "A",
        "authorized_official_last_name": "BRUMMELER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "248-348-1131",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301084582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; 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.