Organization Active NPI

Bep Medical Group PLLC

  • Physical Medicine & Rehabilitation Physician
  • Dexter, MI
National Provider Identifier
1508782947
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Authorized official

Name
Dr. Marcia Bockbrader, MD PHDNPI 1356578710
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.