Active NPI
Cedar Bay Medicine PC
Doing business as North Valley Internal Medicine PC
- Internal Medicine Physician
- Highland, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- CEDAR BAY MEDICINE PC
- Doing business as
- North Valley Internal Medicine PC
- Practice address
- 2330 S Milford Rd Ste 120
Highland, MI 48357-4982 - Phone
- (248) 676-9060
- NPI assigned
- May 30, 2024
- Last updated
- Jul 1, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brandon Genson, DO
- Title
- Owner
- Phone
- (248) 676-9060
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
2330 S Milford Rd Ste 120
Highland, MI 48357-4982
Mailing address
2330 S Milford Rd Ste 120
Highland, MI 48357-4982
Other names 1
- North Valley Internal Medicine PC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2322091 | Cedar Bay Medicine PC | Certificate of waiver | Apr 14, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 7
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.
-
- Internal Medicine Physician
- Highland, MI
- NPI 1548585045
-
- Nurse Practitioner
- Wane, MI
- NPI 1881841591
-
- Internal Medicine Physician
- Highland, MI
- NPI 1437481082
-
- Family Medicine Physician
- Southfield, MI
- NPI 1457322794
-
- Physician Assistant
- Highland, MI
- NPI 1881777373
-
- Physician Assistant
- Highland, MI
- NPI 1184458689
-
- Internal Medicine Physician
- Highland, MI
- NPI 1073525507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717027200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719792000000",
"number": "1669212114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2330 S MILFORD RD STE 120",
"city": "HIGHLAND",
"state": "MI",
"postal_code": "483574982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2330 S MILFORD RD STE 120",
"city": "HIGHLAND",
"state": "MI",
"postal_code": "483574982",
"telephone_number": "248-676-9060"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CEDAR BAY MEDICINE PC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-30",
"last_updated": "2024-07-01",
"certification_date": "2024-07-01",
"status": "A",
"authorized_official_last_name": "GENSON",
"authorized_official_first_name": "BRANDON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "248-676-9060",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "North Valley Internal Medicine PC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "North Valley Internal Medicine PC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Highland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.