Bruce Alan Cassidy, D.O
Individual provider Active NPI Internal Medicine Physician · Farmington Hills, MI
NPI 1770568198 · NPPES record last updated Sep 19, 2022
Key facts
- NPI
- 1770568198
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 5101013348 (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
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 8
Hospital & facility affiliations 14
Owned or controlled facilities with NPI records 2
Medicare Care Compare profile
- Specialty
- Family Practice
- 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 PC
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
- Heartland Hospice (Monroe)
- Beaumont Hospital - Farmington Hills
- Garden City Hospital
- Ascension Providence Hospital, Southfield and Novi
- Wellspring Lutheran Nursing and Rehab Services
- Fountain Bleu Health and Rehabilitation Center
- Fountain View of Monroe
Merit-based Incentive Payment System (MIPS)
- Final score
- 74.3 of 100
- Quality
- 25
- Improvement activities
- 40
- Cost
- 81.01
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Wellspring Lutheran Services |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jan 1, 2023 Jan 1, 2023 |
| Fountain Bleu Health and Rehabilitation Center |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jan 1, 2025 Dec 19, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040616001040 | MI | Practitioner - Family Practice |
1052394616 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bruce a. Cassidy, D.O., PC | Internal Medicine | Current |
Accepting new patients |
| Fountain Bleu Health and Rehabilitation Center Inc | Past | Accepting new patients | |
| Botsford General Hospital | Past | Accepting new patients | |
| Midwest Physician Services PC | Internal Medicine | Past | Accepting new patients |
| Prime Healthcare Services - Garden City LLC | Past | Accepting new patients | |
| Lutheran Homes of Michigan, Inc | Past | Accepting new patients | |
| Frenchtown Acquisition Company Inc | Past | Accepting new patients | |
| Henry Ford Health Providence Hospital | 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
- bcassidy1120486@direct.hfhs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 5101013348 | MI | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N89000001 | Other | MI | MEDICARE PTAN |
| 114334390 | Medicaid | MI |
Other providers in Farmington Hills, MI
- Tatum Cass
- Joseph M Cassady
- Tabitha Cassel
- Jacqueline Cassell
- Sergielene Casses
- Cassandra Cassity
- Delores Casso
- Stephanie Castaneda Herrera
- Devinnie Castaneda Marquez
- Desiree Castaneda
All providers in Farmington Hills, MI · Internal Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.