Organization Active NPI

Oakland Digestive Health, LLC

  • Specialist
  • Rochester Hills, MI
National Provider Identifier
1720200942
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
4301078345 Issued in MI
Legal business name
OAKLAND DIGESTIVE HEALTH, LLC
Practice address
2700 S Rochester Rd
Rochester Hills, MI 48307-4547
Phone
(248) 844-2700
Fax
(248) 852-0806
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kambiz Bral, MDNPI 1568452928
Title
President
Phone
(248) 844-2700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 4301078345 MI Primary

Addresses

Primary practice location

2700 S Rochester Rd
Rochester Hills, MI 48307-4547

Mailing address

2700 S Rochester Rd
Rochester Hills, MI 48307-4547
Phone (248) 844-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070611000099 MI Part B Supplier - Clinic/Group Practice 0143328401 Receives reassigned benefits from 2 practitioners
Practice locations: Rochester Hills, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720200942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 S ROCHESTER RD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074547",
            "telephone_number": "248-844-2700",
            "fax_number": "248-852-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 S ROCHESTER RD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074547",
            "telephone_number": "248-844-2700",
            "fax_number": "248-852-0806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKLAND DIGESTIVE HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRAL",
        "authorized_official_first_name": "KAMBIZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-844-2700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301078345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.