Active NPI
Jasreem Kaur Bhullar, M.D.
- Family Medicine Physician
- Wayne, MI
National Provider Identifier
1699117952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301104096
- Practice address
- 33155 Annapolis St
Wayne, MI 48184-2405 - Phone
- (734) 467-4000
- NPI assigned
- Jul 26, 2013
- Last updated
- Apr 6, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301104096 | MI | Primary |
Addresses
Primary practice location
33155 Annapolis St
Wayne, MI 48184-2405
Mailing address
8821 W Walden Dr
Belleville, MI 48111-2498
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301104096 | MI | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428278400000",
"number": "1699117952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8821 W WALDEN DR",
"city": "BELLEVILLE",
"state": "MI",
"postal_code": "481112498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33155 ANNAPOLIS ST",
"city": "WAYNE",
"state": "MI",
"postal_code": "481842405",
"telephone_number": "734-467-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHULLAR",
"first_name": "JASREEM",
"middle_name": "KAUR",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-26",
"last_updated": "2015-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301104096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wayne, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.