Individual provider Active NPI

Jordan Bushman, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Farmington Hills, MI
National Provider Identifier
1679003941
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
4301507464 Issued in MI
Practice address
28100 Grand River Ave Ste 206
Farmington Hills, MI 48336-5969
Phone
(947) 521-5025
Fax
(947) 521-5019
NPI assigned
Jun 19, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301112922 MI
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 4301507464 MI Primary

Addresses

Primary practice location

28100 Grand River Ave Ste 206
Farmington Hills, MI 48336-5969

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849

Other practice location 1

28100 Grand River Ave Ste 314
Farmington Hills, MI 48336-5970
Phone (947) 521-1549

Other practice location 2

29355 Northwestern Hwy Ste 210
Southfield, MI 48034-1045
Phone (947) 522-1500

Other practice location 3

17412 W 13 Mile Rd
Beverly Hills, MI 48025-5439
Phone (248) 258-8740

Other practice location 4

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone (248) 551-3000

Other practice location 5

23715 Little Mack Ave Ste 100
Saint Clair Shores, MI 48080-1181
Phone (586) 447-8021

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jbushman4680185@direct.beaumont.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221003001011 MI Practitioner - Endocrinology 6406125350 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Wayne State University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

28050 Grand River Ave
Farmington Hills, MI 48336-5919
Phone (947) 521-8000

28100 Grand River Ave
Farmington Hills, MI 48336-5970

29355 Northwestern Hwy 210
Beaumont Int Med Subspecialists Ro
Southfield, MI 48034-1045
Phone (248) 551-1515

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712

3601 W 13 Mile Rd Ec
Beaumont Emergency Services Ro
Royal Oak, MI 48073-6712
Phone (248) 898-5058

468 Cadieux Rd
Grosse Pointe, MI 48230-1507
Phone (313) 473-1705

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.37 of 100Reported as group
Quality
66.73
Promoting interoperability
100
Improvement activities
40
Cost
70.98

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301507464MIMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beaumont Medical Group- Specialty Services CurrentSince Sep 28, 2022 Accepting new patients
Botsford General Hospital Past Accepting new patients

Locations

17412 W 13 Mile Rd
Beverly Hills, MI 48025
Phone (248) 258-8740

28100 Grand River Ave
Ste 314
Farmington Hills, MI 48336
Phone (248) 471-1549

28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320

28100 Grand River Ave
Ste 206
Farmington Hills, MI 48336
Phone (248) 471-1549

1555 South Blvd E
Ste 360
Rochester Hills, MI 48307
Phone (248) 258-8740

3601 W 13 Mile Rd
Royal Oak, MI 48073

29355 Northwestern Hwy
Ste 210
Southfield, MI 48034
Phone (248) 356-7726

26901 Beaumont Blvd
Ste 3D
Southfield, MI 48033
Phone (947) 522-1860

23715 Little Mack Ave
Ste 100
St Clr Shores, MI 48080
Phone (586) 447-8021

Interoperability endpoints

  • Direct secure messaging: jbushman1227527@epic00.shdirect.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1679003941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD STE 3D",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28100 GRAND RIVER AVE STE 206",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483365969",
            "telephone_number": "947-521-5025",
            "fax_number": "947-521-5019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28100 Grand River Ave Ste 314",
            "address_purpose": "LOCATION",
            "city": "Farmington Hills",
            "state": "MI",
            "postal_code": "483365970",
            "country_code": "US",
            "telephone_number": "947-521-1549",
            "fax_number": "248-478-1827",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "29355 Northwestern Hwy Ste 210",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480341045",
            "country_code": "US",
            "telephone_number": "947-522-1500",
            "fax_number": "947-522-1506",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17412 W 13 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "MI",
            "postal_code": "480255439",
            "country_code": "US",
            "telephone_number": "248-258-8740",
            "fax_number": "248-258-9329",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3601 W 13 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480736712",
            "country_code": "US",
            "telephone_number": "248-551-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23715 Little Mack Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Saint Clair Shores",
            "state": "MI",
            "postal_code": "480801181",
            "country_code": "US",
            "telephone_number": "586-447-8021",
            "fax_number": "586-447-8022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUSHMAN",
        "first_name": "JORDAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-19",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301112922",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MI",
            "license": "4301507464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbushman4680185@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "28100 Grand River Ave Ste 314",
            "city": "Farmington Hills",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483365970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.