Active NPI
Bep Medical Group PLLC
- Physical Medicine & Rehabilitation Physician
- Dexter, MI
National Provider Identifier
1508782947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- BEP MEDICAL GROUP PLLC
- Practice address
- 3045 Baker Rd Ste K
Dexter, MI 48130-1163 - Phone
- (734) 215-5768
- Fax
- (614) 482-4938
- NPI assigned
- Jun 29, 2026
- Last updated
- Jun 29, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marcia Bockbrader, MD PHD
- Title
- Owner
- Phone
- (614) 286-0305
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary | ||
| Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician | 2081P0301X | |||
| Addiction Medicine (Preventive Medicine) Physician | 2083A0300X |
Addresses
Primary practice location
3045 Baker Rd Ste K
Dexter, MI 48130-1163
Mailing address
2749 Trailwood LN
Ann Arbor, MI 48105-9743
Phone (734) 210-1627
National Provider Directory
National Provider DirectoryLocations
3045 Baker Rd
Ste K
Dexter, MI 48130
Phone (734) 215-5643
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Medicine & Rehabilitation Physician
- Dexter, MI
- NPI 1356578710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782691200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782691200000",
"number": "1508782947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2749 TRAILWOOD LN",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481059743",
"telephone_number": "734-210-1627",
"fax_number": "614-482-4938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3045 BAKER RD STE K",
"city": "DEXTER",
"state": "MI",
"postal_code": "481301163",
"telephone_number": "734-215-5768",
"fax_number": "614-482-4938"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEP MEDICAL GROUP PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-29",
"last_updated": "2026-06-29",
"certification_date": "2026-06-29",
"status": "A",
"authorized_official_last_name": "BOCKBRADER",
"authorized_official_first_name": "MARCIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "614-286-0305",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD PHD"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
},
{
"code": "2081P0301X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Brain Injury Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2083A0300X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dexter, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.