Active NPI
Vidal D Borromeo, M.D.
- Hematology & Oncology Physician
- Bloomfield Hills, MI
National Provider Identifier
1710979778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- VB031765
- Practice address
- 60 W Big Beaver Rd
Ste. 130
Bloomfield Hills, MI 48304-3909 - Phone
- (248) 644-7355
- Fax
- (248) 644-6840
- NPI assigned
- Aug 16, 2005
- 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 |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | VB031765 | MI | Primary |
Addresses
Primary practice location
60 W Big Beaver Rd
Ste. 130
Bloomfield Hills, MI 48304-3909
Mailing address
5505 Wing Lake Rd
Bloomfield Hills, MI 48301-1250
Phone (248) 626-0829
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40645 | Other | MI | BLUE CARE NETWORK |
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 |
|---|---|---|---|
| VB031765 | MI | MD | Hematology & Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1710979778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5505 WING LAKE RD",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483011250",
"telephone_number": "248-626-0829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 W BIG BEAVER RD",
"address_2": "STE. 130",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483043909",
"telephone_number": "248-644-7355",
"fax_number": "248-644-6840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORROMEO",
"first_name": "VIDAL",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-16",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "MI",
"license": "VB031765",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE NETWORK",
"identifier": "40645",
"state": "MI"
}
],
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.