NPIMap

Individual provider Active NPI

Bruce Alan Cassidy, D.O

  • Internal Medicine Physician
  • Farmington Hills, MI
National Provider Identifier
1770568198
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5101013348 Issued in MI
Practice address
28080 Grand River Ave Ste 208N
Farmington Hills, MI 48336-5966
Phone
(248) 308-2604
Fax
(248) 308-2608
NPI assigned
Dec 8, 2005
Last updated
Sep 19, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5101013348 MI Primary

Addresses

Primary practice location

28080 Grand River Ave Ste 208N
Farmington Hills, MI 48336-5966

Mailing address

28080 Grand River Ave Ste 208N
Farmington Hills, MI 48336-5966
Phone (248) 308-2604

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040616001040 MI Practitioner - Family PracticePractitioner - Internal MedicinePractitioner - Geriatric Medicine 1052394616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Internal Medicine
Education
William Carey University College of Osteopathic Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bruce a Cassidy DO PCGroup PAC ID 6709869365, 2 clinicians

Practice addresses (Care Compare)

28050 Grand River Ave
Farmington Hills, MI 48336-5919
Phone (248) 308-2604

28080 Grand River Ave
Suite 208N
Farmington Hills, MI 48336-5966

47601 Grand River Ave
Novi, MI 48374-1233
Phone (248) 465-4100

6245 N Inkster Rd
Garden City Hospital
Garden City, MI 48135-4001
Phone (248) 308-2604

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
74.3 of 100Reported as group
Quality
25
Improvement activities
40
Cost
81.01

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Bruce a. Cassidy, D.O., PC Internal Medicine CurrentSince Mar 1, 2004 Accepting new patients
Prime Healthcare Services - Garden City LLC Past Accepting new patients
Henry Ford Health Providence Hospital Past Accepting new patients
Midwest Physician Services PC Internal Medicine Past Accepting new patients
Botsford General Hospital Past Accepting new patients
Lutheran Homes of Michigan, Inc Past Accepting new patients
Frenchtown Acquisition Company Inc Past Accepting new patients
Fountain Bleu Health and Rehabilitation Center Inc Past Accepting new patients

Locations

2700 Martin Luther King Jr Blvd
Detroit, MI 48208
Phone (313) 494-6700

28050 Grand River Ave
Farmington Hills, MI 48336
Phone (248) 471-8000

28080 Grand River Ave
Ste 208N
Farmington Hills, MI 48336
Phone (248) 471-8030

25500 Meadowbrook Rd
Ste 260
Novi, MI 48375
Phone (248) 308-2604

Interoperability endpoints

  • Direct secure messaging: bcassidy1120486@direct.hfhs.org

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Wellspring Lutheran ServicesMonroe, MI, CCN 235274 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2023
Jan 1, 2023
Fountain Bleu Health and Rehabilitation CenterLivonia, MI, CCN 235587 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2025
Dec 19, 2025

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1770568198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28080 GRAND RIVER AVE STE 208N",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483365966",
            "telephone_number": "248-308-2604",
            "fax_number": "248-308-2608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28080 GRAND RIVER AVE STE 208N",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483365966",
            "telephone_number": "248-308-2604",
            "fax_number": "248-308-2608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSIDY",
        "first_name": "BRUCE",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-08",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101013348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.