Active NPI
Bridget Maeve Grumm
- Physician Assistant
- Novi, MI
National Provider Identifier
1538070800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 23274 Mystic Forest Dr
Novi, MI 48375-4013 - Phone
- (248) 974-8458
- NPI assigned
- Sep 15, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MI | Primary |
Addresses
Primary practice location
23274 Mystic Forest Dr
Novi, MI 48375-4013
Mailing address
23274 Mystic Forest Dr
Novi, MI 48375-4013
Phone (248) 974-8458
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789430400000",
"number": "1538070800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23274 MYSTIC FOREST DR",
"city": "NOVI",
"state": "MI",
"postal_code": "483754013",
"telephone_number": "248-974-8458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23274 MYSTIC FOREST DR",
"city": "NOVI",
"state": "MI",
"postal_code": "483754013",
"telephone_number": "248-974-8458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUMM",
"first_name": "BRIDGET",
"middle_name": "MAEVE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-09-15",
"last_updated": "2026-09-15",
"certification_date": "2026-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Novi, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.