Terry Bidelman
Individual provider Active NPI Community Health Worker · Kingsford, MI
NPI 1295526465 · NPPES record last updated May 28, 2025
Key facts
- NPI
- 1295526465
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 715 Pyle Dr
Kingsford, MI 49802-4456 - Phone
- (906) 774-0522
- NPI assigned
- May 15, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | MI | ||
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
715 Pyle Dr
Kingsford, MI 49802-4456
Mailing address
715 Pyle Dr
Kingsford, MI 49802-4456
Other providers in Kingsford, MI
- Bellin Health Iron Mountain Inc
- Michael Bellmore
- Courtney Amber Benson
- Danny J Bianco
- Biancos Physical Therapy & Wellness Center
- Paul Howard Bilky
- Gina Marie Bilski
- Angela Kay Bjorne
- Madeline Katherine Boehmer
- Rhonda Jane Boshears
All providers in Kingsford, MI · Community Health Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.