Bradford Merrelli MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301048826 Issued in MI

Legal business name

BRADFORD MERRELLI MD PC

Practice address

595 Barclay Cir
Suite D
Rochester Hills, MI 48307-5802

Phone

(248) 852-5355

Fax

(248) 852-8411

NPI assigned

Jun 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Bradford J Merrelli, M.D.NPI 1184699142

Title

President

Phone

(248) 852-5355

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bradford J Merrelli, MD

  • Family Medicine Physician
  • Rochester Hills, MI
  • NPI 1184699142
  Medicare reassignment Care Compare group Authorized official
• Fanar Alyas, MD

  • Family Medicine Physician
  • Rochester Hills, MI
  • NPI 1932468097
  Medicare reassignment Care Compare group NPD
• Sylvana Yalda, MD

  • Family Medicine Physician
  • Rochester Hills, MI
  • NPI 1528223732
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404086400000",
    "number": "1679779011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 BARCLAY CIR",
            "address_2": "SUITE D",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075802",
            "telephone_number": "248-852-5355",
            "fax_number": "248-852-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 BARCLAY CIR",
            "address_2": "SUITE D",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075802",
            "telephone_number": "248-852-5355",
            "fax_number": "248-852-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADFORD MERRELLI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2014-06-30",
        "status": "A",
        "authorized_official_last_name": "MERRELLI",
        "authorized_official_first_name": "BRADFORD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-852-5355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301048826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Hawkins Boyer, MA LPC
• Michelle Braatz
• Erik Brace, DC
• Amanda L Brackins, PMHNP
• Kevin Bradacs, MA, LPC
• Bradley Ahlgren MD PC
• Christina N Bradley, FNP-C
• Brady T. Vibert, MD, PC
• Tony Joseph Brady, PA
• Kambiz Bral, MD

• Family Medicine Physician in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.