Organization Active NPI

Bruce L. Kaplan DO, PC

  • Rheumatology Physician
  • Southfield, MI
National Provider Identifier
1750555827
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
BK006986 Issued in MI
Legal business name
BRUCE L. KAPLAN DO, PC
Practice address
22250 Providence Drive
Suite #200
Southfield, MI 48075-6210
Phone
(248) 552-0242
Fax
(248) 552-8418
NPI assigned
Apr 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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

Authorized official

Name
Bruce L Kaplan, DO
Title
President
Phone
(248) 552-0242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X BK006986 MI Primary

Addresses

Primary practice location

22250 Providence Drive
Suite #200
Southfield, MI 48075-6210

Mailing address

22250 Providence Drive
Suite #200
Southfield, MI 48075-6210
Phone (248) 552-0242

Other identifiers 1

IdentifierTypeStateIssuer
1156306265OtherMIBLUE CROSS BLUE SHIELD MI

National Provider Directory

National Provider Directory

Locations

22250 Providence Dr
Ste 200
Southfield, MI 48075
Phone (248) 552-0242

NPI Registry JSON

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1750555827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22250 PROVIDENCE DRIVE",
            "address_2": "SUITE #200",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480756210",
            "telephone_number": "248-552-0242",
            "fax_number": "248-552-8418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22250 PROVIDENCE DRIVE",
            "address_2": "SUITE #200",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480756210",
            "telephone_number": "248-552-0242",
            "fax_number": "248-552-8418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE L. KAPLAN DO, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "KAPLAN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-552-0242",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MI",
            "license": "BK006986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MI",
            "identifier": "1156306265",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; 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.