Botsford General Hospital

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

BOTSFORD GENERAL HOSPITAL

Practice address

27031 W Warren St
Dearborn Heights, MI 48127-1901

Phone

(313) 278-1982

Fax

(313) 278-1989

NPI assigned

Aug 3, 2006

Last updated

Aug 21, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

BOTSFORD GENERAL HOSPITALAs reported in NPPES

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

Authorized official

Name

Lesley Willbrandt

Title

Director Shared Services

Phone

(947) 522-1911

Specialties & licenses 1

Addresses

Other names 1

• Botsford Center for Internal Medicine Other name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Botsford General Hospital

  dba Internal Medicine Associates Farmington Hills

  • Internal Medicine Physician
  • Farmington Hills, MI
  • NPI 1538103395

  O20031112000174

  Same enrollment
• Botsford General Hospital

  dba Northside Medical Center

  • Family Medicine Physician
  • Detroit, MI
  • NPI 1780819664

  O20031112000174

  Same enrollment
• Botsford General Hospital

  • Obstetrics & Gynecology Physician
  • Livonia, MI
  • NPI 1821006255

  O20031112000174

  Same enrollment
• Botsford General Hospital

  dba Botsford Thoracic Surgery Clinic

  • Internal Medicine Physician
  • Farmington Hills, MI
  • NPI 1912335373

  O20031112000174

  Same enrollment
• Botsford General Hosptial

  dba Comprehensive OBGYN Livonia

  • Obstetrics & Gynecology Physician
  • Livonia, MI
  • NPI 1487698247

  O20031112000174

  Same enrollment

Part of

ER Phys-Botsford Gen Ho

Locations

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566345600000",
    "number": "1477561819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27031 W WARREN ST",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481271901",
            "telephone_number": "313-278-1982",
            "fax_number": "313-278-1989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOTSFORD GENERAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOTSFORD GENERAL HOSPITAL",
        "enumeration_date": "2006-08-03",
        "last_updated": "2019-08-21",
        "status": "A",
        "authorized_official_last_name": "WILLBRANDT",
        "authorized_official_first_name": "LESLEY",
        "authorized_official_title_or_position": "DIRECTOR SHARED SERVICES",
        "authorized_official_telephone_number": "947-522-1911"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Botsford Center for Internal Medicine",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Botsford Center for Internal Medicine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jill Gwendolyn Bonell, OTR/L
• Bormans Inc (Farmer Jack Pharmacy)
• Mechelle Botrous
• Botsford General Hospital
• Botsford General Hospital (Botsford Podiatry Clinic DH)
• Botsford General Hosptial
• Linda Bouey
• Yvonne Marie Brady, M.ED.
• Gary L Brant, DDS
• Brian J. Polidori DDS PC (Polidori Dental)

• Internal Medicine Physician in Dearborn Heights, MI
• Providers in Dearborn Heights, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.