Organization Active NPI

My E-Physicians, PC

  • Family Medicine Physician
  • Birmingham, MI
National Provider Identifier
1669926861
Registry record updated Aug 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MY E-PHYSICIANS, PC
Practice address
1381 Birmingham Blvd
Birmingham, MI 48009-1997
Phone
(248) 709-8470
NPI assigned
Aug 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2016

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

Authorized official

Name
Kimberlee Coleman, MD
Title
Owner
Phone
(248) 709-8470

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1381 Birmingham Blvd
Birmingham, MI 48009-1997

Mailing address

41000 Woodward Ave
Suite 350 Pmb3720
Bloomfield Hills, MI 48304-5130
Phone (248) 709-8470

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1470355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471824000000",
    "number": "1669926861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41000 WOODWARD AVE",
            "address_2": "SUITE 350 PMB3720",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483045130",
            "telephone_number": "248-709-8470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1381 BIRMINGHAM BLVD",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480091997",
            "telephone_number": "248-709-8470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY E-PHYSICIANS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-05",
        "last_updated": "2016-08-22",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "KIMBERLEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-709-8470",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2016; 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.