Bloomfield Internal Medicine Assoc PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

BLOOMFIELD INTERNAL MEDICINE ASSOC PC

Practice address

43494 Woodward Ave
Suite 105
Bloomfield Hills, MI 48302-5052

Phone

(248) 338-8220

NPI assigned

Oct 15, 2007

Last updated

Mar 24, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth K Chun, MDNPI 1467511808

Title

President

Phone

24833882220

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Kenneth Kuehn Chun, MD

  • Internal Medicine Physician
  • Bloomfield Hills, MI
  • NPI 1467511808
  Authorized official Same address or phone
• James Arthur Gibson, M.D.

  • Internal Medicine Physician
  • Waterford, MI
  • NPI 1104838655
  NPD (past)

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395619200000",
    "number": "1518156645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43494 WOODWARD AVE",
            "address_2": "SUITE 105",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025052",
            "telephone_number": "248-338-8220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43494 WOODWARD AVE",
            "address_2": "SUITE 105",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025052",
            "telephone_number": "248-338-8220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMFIELD INTERNAL MEDICINE ASSOC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2014-03-24",
        "status": "A",
        "authorized_official_last_name": "CHUN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "24833882220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101394062",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bloomfield Hills Rehab, LLC
• Bloomfield Hills SNF LLC (Illuminate HC Bloomfield Hills)
• Bloomfield Hills Surgery Center (Bloomfield Hills Surgical Center)
• Bloomfield Hills Surgery Center
• Bloomfield House, Inc
• Bloomfield Neurology Clinic, P.C.
• Bloomfield Neurology Clinic, P.C.
• Bloomfield OBGYN Specialists
• Bloomfield Optical Studios, PC
• Bloomfield Oral & Maxillofacial Surgery PLLC (Bloomfield Oral Surgery)

• Internal Medicine Physician in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; 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.