Organization Active NPI

Thomas J W Bering, MD, PC

  • Adolescent Medicine (Internal Medicine) Physician
  • Sterling Heights, MI
National Provider Identifier
1306858980
Registry record updated Mar 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0000X
License
TB057582 Issued in MI
Legal business name
THOMAS J W BERING, MD, PC
Practice address
2311 15 Mile Rd
Suite a
Sterling Heights, MI 48310-4812
Phone
(586) 795-1390
Fax
(586) 795-1395
NPI assigned
Aug 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2011

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

Authorized official

Name
Dr. Thomas Bering, MD
Title
President
Phone
(586) 795-1390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RA0000X TB057582 MI Primary

Addresses

Primary practice location

2311 15 Mile Rd
Suite a
Sterling Heights, MI 48310-4812

Mailing address

2311 15 Mile Rd
Suite a
Sterling Heights, MI 48310-4812
Phone (586) 795-1390

Other identifiers 1

IdentifierTypeStateIssuer
3517180MedicaidMI

National Provider Directory

National Provider Directory

Locations

1055 South Blvd E
Rochester Hills, MI 48307
Phone (248) 817-2230

1055 South Blvd E
Ste 220
Rochester Hills, MI 48307
Phone (248) 817-2230

2311 15 Mile Rd
Ste A
Sterling Hts, MI 48310
Phone (586) 795-1390

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299542400000",
    "number": "1306858980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 15 MILE RD",
            "address_2": "SUITE A",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483104812",
            "telephone_number": "586-795-1390",
            "fax_number": "586-795-1395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 15 MILE RD",
            "address_2": "SUITE A",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483104812",
            "telephone_number": "586-795-1390",
            "fax_number": "586-795-1395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS J W BERING, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2011-03-08",
        "status": "A",
        "authorized_official_last_name": "BERING",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-795-1390",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RA0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "MI",
            "license": "TB057582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3517180",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

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