Beaumont Medical Group- Specialty Services
Organization Active NPI Internal Medicine Physician · Farmington Hills, MI
NPI 1629938337 · NPPES record last updated Nov 14, 2025
Key facts
- NPI
- 1629938337
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- BEAUMONT MEDICAL GROUP- SPECIALTY SERVICES
- Practice address
- 28100 Grand River Ave
Farmington Hills, MI 48336-5967 - Phone
- (947) 521-2649
- NPI assigned
- Nov 14, 2025
- Organization subpart
- No
Authorized official
- Name
- Matthew E Cox
- Title
- Cfo
- Phone
- (616) 295-4264
Corporate family (same tax ID) 12
National Provider Directory
- Tax ID family
- Beaumont Medical Group- Specialty Services
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
28100 Grand River Ave
Farmington Hills, MI 48336-5967
Mailing address
100 Michigan St NE
Grand Rapids, MI 49503-2560
Other providers in Farmington Hills, MI
- Jasmine Beaudoin
- Jennifer Beaudoin
- Terez Beauford
- Austin Beaulieu
- Beaumont - Farmington Hills
- Jason Beaumont
- Seth Beauregard
- Jaye Beaver
- Kelsey Beaver
- Lasonya Beaver
All providers in Farmington Hills, MI · Internal Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.