Individual provider Active NPI

Henri Godbold, M.D

  • Geriatric Medicine (Internal Medicine) Physician
  • Detroit, MI
National Provider Identifier
1407012834
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
4301080800 Issued in MI
Practice address
20901 W 7 Mile Rd
Detroit, MI 48219-1904
Phone
(313) 564-5510
Fax
(248) 581-8839
NPI assigned
Aug 5, 2008
Last updated
Dec 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301080800 MI
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 4301080800 MI Primary
Pediatrics Physician 208000000X 4301080800 MI

Addresses

Primary practice location

20901 W 7 Mile Rd
Detroit, MI 48219-1904

Mailing address

18000 W 9 Mile Rd Ste 200
Southfield, MI 48075-4020
Phone (248) 336-4000

Other practice location 1

3956 Mount Elliott St
Detroit, MI 48207-1841
Phone (313) 925-4540

Other practice location 2

9021 Joseph Campau St
Hamtramck, MI 48212-3726
Phone (313) 871-1926

Other practice location 3

195 W 9 Mile Rd
Ferndale, MI 48220-2914
Phone (248) 773-1829

Other names 1

  • Henri Godbold Professional name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080926000381 MI Practitioner - General PracticePractitioner - Family PracticePractitioner - Geriatric MedicinePractitioner - Pediatric MedicinePractitioner - Internal Medicine 1951478320 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Wayne State University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Exclusive Physicians PLLCGroup PAC ID 9335279942, 20 clinicians

Practice addresses (Care Compare)

911 E 9 Mile Rd
Ferndale, MI 48220-1934
Phone (248) 336-4000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301080800MIMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne County Treasurer Payroll-County of Wayne CurrentSince Feb 10, 2020 Accepting new patients
Theoria Medical Internal Medicine CurrentSince Feb 1, 2021 Accepting new patients
Wayne County Treasurer-Payroll County of Wayne CurrentSince Feb 10, 2020 Accepting new patients
Exclusive Physicians PLLC Internal Medicine CurrentSince Sep 1, 2021 Accepting new patients
Professional Plaza Clinic Corporation CurrentSince Oct 1, 2020 Accepting new patients
Detroit Health Care for the Homeless PastSince Oct 1, 2020 Accepting new patients
Wellbridge of Clarkston, LLC Past Accepting new patients
Lake Mi Mobile Doctors, P.C. PastSince Dec 30, 2012 Accepting new patients
Lake Mi Mobile Doctors, P.C. Geriatric Medicine Past Accepting new patients

Locations

3051 Momentum Pl
Chicago, IL 60689

5655 Clarkston Rd
Clarkston, MI 48348
Phone (810) 623-5216

18463 Livernois Ave
Detroit, MI 48221
Phone (313) 369-1500

20901 W 7 Mile Rd
Detroit, MI 48219
Phone (313) 532-2000

2395 W Grand Blvd
Detroit, MI 48208
Phone (313) 831-2442

4059 W Davison
Detroit, MI 48238
Phone (313) 491-5400

22480 Kelly Rd
Eastpointe, MI 48021
Phone (586) 200-7371

911 E 9 Mile Rd
Ferndale, MI 48220
Phone (248) 543-2229

3499 S Linden Rd
Ste 2
Flint, MI 48507
Phone (810) 820-8121

3139 E Baldwin Rd
Grand Blanc, MI 48439
Phone (810) 445-5300

4420 E Davison St
Hamtramck, MI 48212
Phone (313) 334-6711

9021 Joseph Campau St
Hamtramck, MI 48212
Phone (313) 871-1926

16800 24 Mile Rd
Ste 4
Macomb, MI 48042
Phone (586) 786-1800

26300 Woodward Ave
Royal Oak, MI 48067
Phone (248) 546-2110

12660 10 Mile Rd
South Lyon, MI 48178
Phone (248) 348-1131

18000 W 9 Mile Rd
Ste 200
Southfield, MI 48075

18591 W 10 Mile Rd
Southfield, MI 48075
Phone (248) 443-2556

29829 Telegraph Rd
Ste 200
Southfield, MI 48034
Phone (248) 237-1373

29829 Telegraph Rd
Ste 202
Southfield, MI 48034
Phone (248) 208-9411

28001 Harper Ave
St Clr Shores, MI 48081
Phone (586) 772-7180

26650 Eureka Rd
#C1
Taylor, MI 48180
Phone (734) 941-4991

33030 Van Born Rd
Wayne, MI 48184
Phone (734) 727-7101

Interoperability endpoints

  • Direct secure messaging: henri.godbold.1@33060.direct.athenahealth.com
  • Direct secure messaging: hgodbold779597@direct.hfhs.org

Organizations & group practices 10

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1407012834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18000 W 9 MILE RD STE 200",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754020",
            "telephone_number": "248-336-4000",
            "fax_number": "248-336-9137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20901 W 7 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482191904",
            "telephone_number": "313-564-5510",
            "fax_number": "248-581-8839"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3956 Mount Elliott St",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482071841",
            "country_code": "US",
            "telephone_number": "313-925-4540",
            "fax_number": "313-925-4606",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9021 Joseph Campau St",
            "address_purpose": "LOCATION",
            "city": "Hamtramck",
            "state": "MI",
            "postal_code": "482123726",
            "country_code": "US",
            "telephone_number": "313-871-1926",
            "fax_number": "313-871-1964",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "195 W 9 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Ferndale",
            "state": "MI",
            "postal_code": "482202914",
            "country_code": "US",
            "telephone_number": "248-773-1829",
            "fax_number": "855-369-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GODBOLD",
        "first_name": "HENRI",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-05",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301080800",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MI",
            "license": "4301080800",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301080800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HENRI",
            "last_name": "GODBOLD",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.