Organization Active NPI

Aml Medical PLLC

  • Health Service Clinic/Center
  • Southfield, MI
National Provider Identifier
1487280681
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
AML MEDICAL PLLC
Practice address
17330 Northland Park CT Ste 205
Southfield, MI 48075-4323
Phone
(313) 801-7711
NPI assigned
Mar 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Authorized official

Name
Asia Maxine Bradley, MDNPI 1821437211
Title
Owner
Phone
(313) 204-1325

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

17330 Northland Park CT Ste 205
Southfield, MI 48075-4323

Mailing address

2222 W Grand River Ave Ste a
Okemos, MI 48864-1604

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200408004265 MI Part B Supplier - Clinic/Group Practice 3375972508 Receives reassigned benefits from 1 practitioner
Practice locations: Detroit, MI; Southfield, MI

National Provider Directory

National Provider Directory

Locations

17330 Northland Park Ct
Ste 205
Southfield, MI 48075
Phone (248) 809-2853

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1584576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750896000000",
    "number": "1487280681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 W GRAND RIVER AVE STE A",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488641604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17330 NORTHLAND PARK CT STE 205",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754323",
            "telephone_number": "313-801-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AML MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-19",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "ASIA",
        "authorized_official_middle_name": "MAXINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-204-1325",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; 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.