Individual provider Active NPI

Bruce John Rochefort

  • Obstetrics & Gynecology Physician
  • Dearborn, MI
National Provider Identifier
1407806581
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301066005 Issued in MI
Practice address
18101 Oakwood Blvd
Dearborn, MI 48124-4089
Phone
(313) 593-7000
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4301066005 MI Primary

Addresses

Primary practice location

18101 Oakwood Blvd
Dearborn, MI 48124-4089

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849
Phone (947) 522-1865

Other practice location 1

33155 Annapolis St
Wayne, MI 48184-2405
Phone (734) 467-4000

Other practice location 2

18181 Oakwood Blvd Ste 410
Dearborn, MI 48124-4082
Phone (313) 982-5430

Other identifiers 7

IdentifierTypeStateIssuer
4312650MedicaidMI
7772271OtherMIAETNA
P104516OtherMIBCN
138527OtherMIGREAT LAKES HEALTH PLAN
104363524MedicaidMI
47190OtherMIOMNICARE HEALTH PLAN
160H261380OtherMIBCBSM/BCN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address BROCHEFORT110221@DIRECT.BEAUMONT.EDU

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
I20040519000863 MI Practitioner - Obstetrics/Gynecology 6002807005 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Michigan State University College of Human Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mymichigan Medical Center AlpenaGroup PAC ID 8527969922, 97 clinicians
Kreil and Rochefort PLLCGroup PAC ID 9739128414, 2 clinicians

Practice addresses (Care Compare)

1501 W Chisholm St
Alpena, MI 49707-1401
Phone (989) 356-7390

22074 Michigan Ave
Dearborn, MI 48124-2353
Phone (313) 565-9510

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301066005MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Sault Obstetrics & Gynecology CurrentSince Jan 6, 2025 Accepting new patients
Mymichigan Medical Center Sault Current Accepting new patients
Mymichigan Medical Center Alpena Current Accepting new patients
Mymichigan Medical Center Alpena CurrentSince Jan 6, 2025 Accepting new patients
Mercy Memorial Hospital Corporation CurrentSince Nov 22, 2024 Accepting new patients
Kreil and Rochefort PLLC Obstetrics & Gynecology CurrentSince Aug 1, 2001 Accepting new patients
Mymichigan Medical Center Sault CurrentSince Jan 6, 2025 Accepting new patients
Mercy Memorial Hospital Corporatio CurrentSince Nov 22, 2024 Accepting new patients
Mymichigan Medical Center West Branch CurrentSince Jan 6, 2025 Accepting new patients
Beaumont Medical Group Hospital -Based Services CurrentSince Sep 5, 2018 Accepting new patients
West Branch Regional Medical Center Current Accepting new patients
Mymichigan Medical Center West Branch Current Accepting new patients
Mymichigan Medical Center Alpena Past Accepting new patients
Oakwood Healthcare, Inc. Past Accepting new patients

Locations

1501 W Chisholm St
Alpena, MI 49707
Phone (989) 356-7000

22074 Michigan Ave
Dearborn, MI 48124
Phone (313) 565-9510

18181 Oakwood Blvd
Ste 410
Dearborn, MI 48124
Phone (313) 271-0066

18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780

1711 Monroe St
Dearborn, MI 48124
Phone (313) 359-9361

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

905 N Macomb St
Ste 2
Monroe, MI 48162
Phone (734) 242-1899

718 N Macomb St
Monroe, MI 48162
Phone (734) 212-3097

509 Osborn Blvd
Ste 120
Sault Sainte Marie, MI 49783
Phone (906) 635-3002

500 Osborn Blvd
Sault South Marie, MI 49783
Phone (906) 635-4350

26901 Beaumont Blvd
Ste 3D
Southfield, MI 48033
Phone (947) 522-1860

10000 Telegraph Rd
Taylor, MI 48180
Phone (313) 295-5000

44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255

33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042

2431 S M 30
Ste 200
West Branch, MI 48661
Phone (989) 343-3762

2463 S M 30
West Branch, MI 48661
Phone (517) 345-3660

Interoperability endpoints

  • Direct secure messaging: bruce.rochefort.1@21805.direct.athenahealth.com
  • Direct secure messaging: brochefort1253245@epic00.shdirect.org
  • Direct secure messaging: brochefort110221@direct.beaumont.edu
  • FHIR API: https://api.platform.athenahealth.com/21805/brand/1/csg/1/fhir/r4

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 5

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1407806581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD STE 3D",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849",
            "telephone_number": "947-522-1865",
            "fax_number": "947-522-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18101 OAKWOOD BLVD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481244089",
            "telephone_number": "313-593-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33155 Annapolis St",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "MI",
            "postal_code": "481842405",
            "country_code": "US",
            "telephone_number": "734-467-4000",
            "fax_number": "734-467-4017",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18181 Oakwood Blvd Ste 410",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481244082",
            "country_code": "US",
            "telephone_number": "313-982-5430",
            "fax_number": "313-982-5435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROCHEFORT",
        "first_name": "BRUCE",
        "middle_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301066005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4312650",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7772271",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN",
            "identifier": "P104516",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT LAKES HEALTH PLAN",
            "identifier": "138527",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104363524",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OMNICARE HEALTH PLAN",
            "identifier": "47190",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM/BCN",
            "identifier": "160H261380",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "BROCHEFORT110221@DIRECT.BEAUMONT.EDU",
            "affiliation": "N",
            "address_1": "18101 Oakwood Blvd",
            "city": "Dearborn",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481244089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.