Organization Active NPI

West Bloomfield Prompt Care-PLLC

  • Family Medicine Physician
  • West Bloomfield, MI
National Provider Identifier
1710233473
Registry record updated Jan 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WEST BLOOMFIELD PROMPT CARE-PLLC
Practice address
6079 W Maple Rd
Suite 130
West Bloomfield, MI 48322-2283
Phone
(248) 440-7775
Fax
(248) 440-7775
NPI assigned
Jul 31, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2013

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

Authorized official

Name
Mahmoud M Al-Shami, M.D.
Title
Owner
Phone
(248) 440-7775

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

6079 W Maple Rd
Suite 130
West Bloomfield, MI 48322-2283

Mailing address

6079 W Maple Rd
Suite 130
West Bloomfield, MI 48322-2283
Phone (248) 440-7775

National Provider Directory

National Provider Directory

Locations

6079 W Maple Rd
Ste 130
West Bloomfield, MI 48322
Phone (248) 440-7775

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359331200000",
    "number": "1710233473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6079 W MAPLE RD",
            "address_2": "SUITE 130",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483222283",
            "telephone_number": "248-440-7775",
            "fax_number": "248-440-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6079 W MAPLE RD",
            "address_2": "SUITE 130",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483222283",
            "telephone_number": "248-440-7775",
            "fax_number": "248-440-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST BLOOMFIELD PROMPT CARE-PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-31",
        "last_updated": "2013-01-28",
        "status": "A",
        "authorized_official_last_name": "AL-SHAMI",
        "authorized_official_first_name": "MAHMOUD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-440-7775",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.