Stephen Willard Bishop, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301047475 Issued in MI

Practice address

9912 E Grand River Ave Ste 1000
Brighton, MI 48116-1973

Phone

(810) 588-4214

Fax

(810) 588-4353

NPI assigned

Jul 1, 2005

Last updated

Dec 21, 2021By 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

Other identifiers 9

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

Specialty

Family Practice

Education

Wayne State University School of Medicine, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sacred Heart Medical Centre PCGroup PAC ID 5597668947, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension Providence Hospital, Southfield and Novi Hospital, Southfield, MI, CCN 230019

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stephen.bishop.1@24172.direct.athenahealth.com
• Direct secure messaging: sbishop1117635@direct.hfhs.org

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.

• Sacred Heart Medical Centre PC

  • Family Medicine Physician
  • Farmington Hills, MI
  • NPI 1558588772
  Medicare reassignment Care Compare group
• Kamran F. Sheikh MD PC

  • Family Medicine Physician
  • Farmington, MI
  • NPI 1205862513
  Medicare reassignment NPD
• Alexander Malayev MD PC

  dba United Care Team I

  • Multi-Specialty Clinic/Center
  • Clawson, MI
  • NPI 1861400095

  Family Medicine

  NPD
• Halo Tele-Joy PLLC

  • Internal Medicine Physician
  • Dearborn Heights, MI
  • NPI 1841805173
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Henry Ford Health Providence Hospital

  • General Acute Care Hospital
  • Novi, MI
  • NPI 1144210253
  Care Compare affiliation

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1326045659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9912 E GRAND RIVER AVE STE 1000",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481161973",
            "telephone_number": "810-588-4214",
            "fax_number": "810-588-4353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9912 E GRAND RIVER AVE STE 1000",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481161973",
            "telephone_number": "810-588-4214",
            "fax_number": "810-588-4353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "STEPHEN",
        "middle_name": "WILLARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301047475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5046170",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "785500",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00221534",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3186078",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4561450",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIORITY HEALTH",
            "identifier": "108045",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT LAKES HEALTH PLAN",
            "identifier": "147144",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TOTAL HEALTH CARE",
            "identifier": "665-1",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS & BCN",
            "identifier": "080H215880",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Binson's Hospital Supplies, Inc. (Binson's Home Health Care Centers)
• Bio Psycho Social Holistic Mental Health Staffing, LLC
• Bio-Medical Applications of Michigan, Inc. (Fresenius Medical Care Brighton)
• Bipin Desai MD (Livingston Pediatric Center)
• John E. Birchmeier, O.D.
• BJC Foot and Ankle PC (Brighton Foot and Ankle)
• Elizabeth Jean Black, M.S.W.
• Megan Rose Blades
• Jacqueline Blair
• Blue Lotus Therapy Services LLC

• Family Medicine Physician in Brighton, MI
• Providers in Brighton, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.