Antoine Geffrard, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

4301064000 Issued in MI

Practice address

22673 Twyckingham Way
Southfield, MI 48034-6259

Phone

(248) 356-6546

NPI assigned

Mar 3, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 1, 2022 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Rehabilitation Institute of Michigan

  • Rehabilitation Clinic/Center
  • Detroit, MI
  • NPI 1982779260
  NPD (past)

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1295702686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22673 TWYCKINGHAM WAY",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480346259",
            "telephone_number": "248-356-6546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22673 TWYCKINGHAM WAY",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480346259",
            "telephone_number": "248-356-6546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEFFRARD",
        "first_name": "ANTOINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "4301064000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gayle Walls-Brown PLLC
• GD Mi MGD PLLC (Michigan Gum Docs)
• GD Mi Southfield PLLC (Southfield Family Dental Center)
• Courtney Geer
• Roby Geevarghese, MD
• Kevin Geller, DDS
• Evgeny Gelman, MD
• Joelle Gelmann, NP-C
• Gem Surgical PLLC
• David Robert Gendernalik, M.D.

• Physical Medicine & Rehabilitation Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• Physical Medicine & Rehabilitation Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.