James L. Ziobron, D.O.
Individual provider Active NPI Family Medicine Physician · Bruce, MI
NPI 1407901267 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1407901267
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 5101012034 (MI)
- Practice address
- 71441 Van Dyke Rd
Bruce, MI 48065-3808 - Phone
- (586) 336-3700
- Fax
- (586) 336-9443
- NPI assigned
- Jan 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
- Opted out of Medicare
- Yes, effective Feb 28, 2019 through Feb 28, 2027
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101012034 | MI | Yes |
Addresses
Primary practice location
71441 Van Dyke Rd
Bruce, MI 48065-3808
Mailing address
71441 Van Dyke Rd
Bruce, MI 48065-3808
Phone (586) 336-3700
Other providers in Bruce, MI
- Henry Ford Macomb Hospital Corporation
- Theodore Karl Kasper
- Restorative Solutions LLC
- Township of Bruce
- Woodward Detroit CVS, L.L.C.
All providers in Bruce, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.