Birmingham Royal Oak Medical Group

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BIRMINGHAM ROYAL OAK MEDICAL GROUP

Practice address

5130 Coolidge Hwy
Royal Oak, MI 48073-1001

Phone

(248) 288-9500

Fax

(248) 288-0044

NPI assigned

Aug 11, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Mumtaz George, M.D.NPI 1265523302

Title

Medical Director

Phone

(248) 288-9500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 4

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

• Mumtaz George, M.D.

  • Internal Medicine Physician
  • Royal Oak, MI
  • NPI 1265523302
  Medicare reassignment Care Compare group Authorized official
• Samaria Hall, NP

  • Family Nurse Practitioner
  • Madison Heights, MI
  • NPI 1477207942
  Medicare reassignment Care Compare group
• Clarissa C Cowles, MD

  • Obstetrics & Gynecology Physician
  • Royal Oak, MI
  • NPI 1356359202
  NPD
• Fang Shi, MD

  • Family Medicine Physician
  • Royal Oak, MI
  • NPI 1710996913
  NPD

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

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268870400000",
    "number": "1699907550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5130 COOLIDGE HWY",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480731001",
            "telephone_number": "248-288-9500",
            "fax_number": "248-288-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 COOLIDGE HWY",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480731001",
            "telephone_number": "248-288-9500",
            "fax_number": "248-288-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRMINGHAM ROYAL OAK MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-11",
        "last_updated": "2010-03-18",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "MUMTAZ",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "248-288-9500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcy Binford
• Mark Kenneth Binkley Jr., PT, DPT
• Binson'S Hospital Supplies, Inc.
• Binson'S Hospital Supplies, Inc.
• James Birach
• Birmingham Royal Oak Medical Group PC
• Birmingham Surgical Consultants, PC
• Giorgios Bis, M.D.
• Kostaki Bis
• Jaclyn Bishja, PHARMD

• Family Medicine Physician in Royal Oak, MI
• Providers in Royal Oak, 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 Mar 18, 2010; 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.