Organization Active NPI

Addiction Medicine Consultants, PC

  • Health Service Clinic/Center
  • Bloomfield, MI
National Provider Identifier
1447764972
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
5101007287 Issued in MI
Legal business name
ADDICTION MEDICINE CONSULTANTS, PC
Practice address
4333 Stony River Dr
Bloomfield, MI 48301-3650
Phone
(313) 402-8381
NPI assigned
Nov 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Authorized official

Name
Dr. Eric N Coffman, DO
Title
President
Phone
(313) 402-8381

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 5101007287 MI Primary

Addresses

Primary practice location

4333 Stony River Dr
Bloomfield, MI 48301-3650

Mailing address

4333 Stony River Dr
Bloomfield, MI 48301-3650
Phone (313) 402-8381

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address encdoc@me.com

National Provider Directory

National Provider Directory

Locations

27550 Joy Rd
Livonia, MI 48150
Phone (734) 261-3290

NPI Registry JSON

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

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736380800000",
    "number": "1447764972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4333 STONY RIVER DR",
            "city": "BLOOMFIELD",
            "state": "MI",
            "postal_code": "483013650",
            "telephone_number": "313-402-8381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4333 STONY RIVER DR",
            "city": "BLOOMFIELD",
            "state": "MI",
            "postal_code": "483013650",
            "telephone_number": "313-402-8381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDICTION MEDICINE CONSULTANTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-20",
        "last_updated": "2025-01-09",
        "certification_date": "2024-12-18",
        "status": "A",
        "authorized_official_last_name": "COFFMAN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-402-8381",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MI",
            "license": "5101007287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "encdoc@me.com",
            "affiliation": "N",
            "address_1": "4333 Stony River Dr",
            "city": "Bloomfield",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483013650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.