Individual provider Active NPI

David M Bradlee, D.O.

  • Endocrinology, Diabetes & Metabolism Physician
  • Bloomfield Hills, MI
National Provider Identifier
1790731693
Registry record updated Dec 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
5101011456 Issued in MI
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

Updated by the provider on Dec 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
114316OtherMITRINITY HEALTH
1818197OtherMIUNITED HEALTH NETWORK
5630444OtherMIBLUE CARE NETWORK
5630444OtherMIBLUE CROSS
0080123OtherMICIGNA
5769622OtherMIAETNA
1225744OtherMIFIRST HEALTH
80123001OtherMICIGNA PPO
50022409OtherMIHAP
C 6861OtherMIM-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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060531000084 MI Practitioner - EndocrinologyPractitioner - Internal Medicine 8224049432 Reassigns benefits to 1 organization
Practice locations: Bloomfield Hills, MI

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
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

OrganizationSpecialtyStatusNew patients
McLaren Oakland CurrentSince Jul 1, 2017 Accepting new patients
McLaren Oakland CurrentSince Jul 1, 2017 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.

Hospital & facility affiliations 1

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

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

Verify at the official NPI Registry.