Active NPI
Bala Shanker Prasad, M.D.
- Orthopaedic Surgery Physician
- Bloomfield Hills, MI
National Provider Identifier
1710120597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 32082
- Practice address
- 264, Pine Ridge Dr
Bloomfield Hills, MI 48304 - Phone
- (248) 540-7971
- NPI assigned
- Apr 9, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 32082 | MI | Primary |
Addresses
Primary practice location
264, Pine Ridge Dr
Bloomfield Hills, MI 48304
Mailing address
264, Pine Ridge Dr
Bloomfield Hills, MI 48304
Phone (248) 540-7971
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32082 | MI | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239235200000",
"number": "1710120597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "264, PINE RIDGE DR",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "48304",
"telephone_number": "248-540-7971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "264, PINE RIDGE DR",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "48304",
"telephone_number": "248-540-7971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRASAD",
"first_name": "BALA",
"middle_name": "SHANKER",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-09",
"last_updated": "2009-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MI",
"license": "32082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomfield Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.