Beaumont Medical Group- Specialty Services
Organization Active NPI Internal Medicine Physician · Berkley, MI
NPI 1487501649 · NPPES record last updated Mar 16, 2026
Key facts
- NPI
- 1487501649
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- BEAUMONT MEDICAL GROUP- SPECIALTY SERVICES
- Practice address
- 1949 12 Mile Rd
Berkley, MI 48072-1868 - Phone
- (248) 551-0615
- NPI assigned
- Mar 16, 2026
- Organization subpart
- No
Authorized official
- Name
- Matthew E Cox
- Title
- Cfo
- Phone
- (616) 486-6790
Corporate family (same tax ID) 12
National Provider Directory
- Tax ID family
- Beaumont Medical Group- Specialty Services
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
1949 12 Mile Rd
Berkley, MI 48072-1868
Mailing address
100 Michigan St NE
Grand Rapids, MI 49503-2560
Other providers in Berkley, MI
- Allison Barrett
- Deborah Barycz I
- Lola Baskerville
- Angela Beach
- Pierre Charles Beaudet
- Jocelyn Noel Becharas
- Becker Orthopedic Appliance Company
- Mark Bennett
- Paul Alan Benson
- Berkley Dental PC
All providers in Berkley, MI · Internal 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 Mar 16, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.