Active NPI
Berkley Physical Medicine, PC
- Physical Medicine & Rehabilitation Physician
- Detroit, MI
National Provider Identifier
1699007302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- BERKLEY PHYSICAL MEDICINE, PC
- Practice address
- 6700 W Outer Dr
Detroit, MI 48235-2724 - Phone
- (248) 797-0860
- NPI assigned
- Feb 4, 2010
- Last updated
- Feb 4, 2010
- 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
- Hadassah R Kreiman, M.D.
- Title
- President
- Phone
- (248) 797-0860
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
6700 W Outer Dr
Detroit, MI 48235-2724
Mailing address
26394 Humber St
Huntington Woods, MI 48070-1222
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Physical Medicine & Rehabilitation Physician
- Huntington Woods, MI
- NPI 1124026620
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265241600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1265241600000",
"number": "1699007302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26394 HUMBER ST",
"city": "HUNTINGTON WOODS",
"state": "MI",
"postal_code": "480701222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6700 W OUTER DR",
"city": "DETROIT",
"state": "MI",
"postal_code": "482352724",
"telephone_number": "248-797-0860"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BERKLEY PHYSICAL MEDICINE, PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-04",
"last_updated": "2010-02-04",
"status": "A",
"authorized_official_last_name": "KREIMAN",
"authorized_official_first_name": "HADASSAH",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "248-797-0860",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.