Paul Bruce Friedman, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

4301057638 Issued in MI

Practice address

14555 Levan Rd
Suite 307
Livonia, MI 48154-5083

Phone

(734) 462-1525

Fax

(734) 462-1830

NPI assigned

Feb 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 4

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

General Surgery

Education

University of Michigan Medical School, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Joe Mercy Hospital System Livonia Hospital, Livonia, MI, CCN 230002
• Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Friedman Surgical Group P C

  • Vascular Surgery Physician
  • Livonia, MI
  • NPI 1770603680
  Medicare reassignment NPD Authorized official
• Dearborn Surgical Associates P.C.

  • Vascular Surgery Physician
  • Dearborn, MI
  • NPI 1700841475
  NPD (past)
• Oakwood Group IX, LLC

  • Internal Medicine Physician
  • Dearborn, MI
  • NPI 1720050917

  Surgery

  NPD (past)
• Oakwood Healthcare Group I, LLC

  • Family Medicine Physician
  • Dearborn, MI
  • NPI 1629081062
  NPD (past)

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

• Oakwood Healthcare Inc

  • Community Health Clinic/Center
  • Dearborn, MI
  • NPI 1790414670

  Hospital

  Care Compare affiliation
• Oakwood Healthcare, Inc.

  • General Acute Care Hospital
  • Dearborn, MI
  • NPI 1740230119
  Care Compare affiliation
• St Mary Mercy Hospital

  • General Acute Care Hospital
  • Livonia, MI
  • NPI 1790706901
  Care Compare affiliation

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269216000000",
    "number": "1366416430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14555 LEVAN RD",
            "address_2": "SUITE 307",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481545083",
            "telephone_number": "734-462-1525",
            "fax_number": "734-462-1830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14555 LEVAN RD",
            "address_2": "SUITE 307",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481545083",
            "telephone_number": "734-462-1525",
            "fax_number": "734-462-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "PAUL",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2010-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301057638",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MI",
            "license": "4301057638",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2833102",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE INDIVIDUAL PIN#",
            "identifier": "B9740",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM INDIVIDUAL PIN#",
            "identifier": "02-0826302-2",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM GROUP PIN#",
            "identifier": "020H263670",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aaron Lee Frey, ARNP
• Rakyia Monique Fricks
• Friedman Surgical Group P C
• David A Friedman, DPM
• Harold Friedman, D.O.
• Danielle Friedrich, P.A.
• Friendly Home Care, LLC
• Monique Frison
• Shelby Antoinette Frolek, DPT
• Frontida Home Healthcare Mi LLC

• Surgery Physician in Livonia, MI
• Providers in Livonia, MI by specialty
• Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; 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.