Active NPI
David M Bradlee, D.O.
- Endocrinology, Diabetes & Metabolism Physician
- Bloomfield Hills, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 5101011456
- Practice address
- 43902 Woodward Ave
Suite 240
Bloomfield Hills, MI 48302-5011 - Phone
- (248) 454-7650
- Fax
- (248) 454-9794
- NPI assigned
- May 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 5101011456 | MI | Primary |
Addresses
Primary practice location
43902 Woodward Ave
Suite 240
Bloomfield Hills, MI 48302-5011
Mailing address
43902 Woodward Ave
Suite 240
Bloomfield Hills, MI 48302-5011
Phone (248) 454-7650
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114316 | Other | MI | TRINITY HEALTH |
| 1818197 | Other | MI | UNITED HEALTH NETWORK |
| 5630444 | Other | MI | BLUE CARE NETWORK |
| 5630444 | Other | MI | BLUE CROSS |
| 0080123 | Other | MI | CIGNA |
| 5769622 | Other | MI | AETNA |
| 1225744 | Other | MI | FIRST HEALTH |
| 80123001 | Other | MI | CIGNA PPO |
| 50022409 | Other | MI | HAP |
| C 6861 | Other | MI | M-CARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Michigan State University College of Osteopathic Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
43902 Woodward Ave
Bloomfield Hills, MI 48302-5023
Phone (248) 454-7650
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLaren Oakland | Current | Accepting new patients | |
| McLaren Oakland | Current | Accepting new patients |
Locations
8172 Reliable Pkwy
Chicago, IL 60686
Phone (517) 908-0847
50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Pontiac, MI
- NPI 1053463778
-
- Psychiatric Hospital Unit
- Pontiac, MI
- NPI 1245817881
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pontiac, MI
- NPI 1053356352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261094400000",
"number": "1790731693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43902 WOODWARD AVE",
"address_2": "SUITE 240",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483025011",
"telephone_number": "248-454-7650",
"fax_number": "248-454-9794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43902 WOODWARD AVE",
"address_2": "SUITE 240",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483025011",
"telephone_number": "248-454-7650",
"fax_number": "248-454-9794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADLEE",
"first_name": "DAVID",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-25",
"last_updated": "2009-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "MI",
"license": "5101011456",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRINITY HEALTH",
"identifier": "114316",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH NETWORK",
"identifier": "1818197",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE NETWORK",
"identifier": "5630444",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "5630444",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0080123",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5769622",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "1225744",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PPO",
"identifier": "80123001",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HAP",
"identifier": "50022409",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "M-CARE",
"identifier": "C 6861",
"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 Dec 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.