Michael Bruce Bielawski, D.D.S. P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10106 Issued in MI

Practice address

11885 E 12 Mile Rd
Warren, MI 48093-3474

Phone

(586) 751-2444

Fax

(586) 751-2445

NPI assigned

Mar 9, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518099258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11885 E 12 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480933474",
            "telephone_number": "586-751-2444",
            "fax_number": "586-751-2445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11885 E 12 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480933474",
            "telephone_number": "586-751-2444",
            "fax_number": "586-751-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIELAWSKI",
        "first_name": "MICHAEL",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.  P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "10106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bicounty Medical Practices (Horizon OBGYN)
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• Adam Craig Biedny, D.O.
• Roger Bigelow, MD
• Barbara Biggs
• Marigold Casamayor Bilbao
• Rana Mansour Bilbeisi, D.O.
• Gurtejbir Singh Bilkhu

• General Practice Dentistry in Warren, MI
• Providers in Warren, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.