Active NPI
Jordan Bushman, MD
- Endocrinology, Diabetes & Metabolism Physician
- Farmington Hills, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 4301507464
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
- Beaumont Hospital - Farmington Hills
- Beaumont Hospital Royal Oak
- Beaumont Hospital - Dearborn
- Beaumont Hospital - Grosse Pointe
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.37 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4301507464 | MI | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaumont Medical Group- Specialty Services | Current | 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
- 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.
-
- Surgery Physician
- Royal Oak, MI
- NPI 1578072906
-
- General Acute Care Hospital
- Farmington Hills, MI
- NPI 1336183367
Hospital & facility affiliations 14
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Farmington Hills, MI
- NPI 1336183367
-
- General Acute Care Hospital
- Dearborn, MI
- NPI 1740230119
-
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1689653305
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.