Bradley D Ahlgren, MD
Individual provider Active NPI Orthopaedic Surgery Physician · Rochester Hills, MI
NPI 1790766871 · NPPES record last updated Dec 29, 2020
Key facts
- NPI
- 1790766871
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- 4301054228 (MI)
- Practice address
- 1555 South Blvd E
Suite 310
Rochester Hills, MI 48307-5605 - Phone
- (248) 215-8095
- Fax
- (248) 289-1086
- NPI assigned
- Nov 7, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 7
Hospital & facility affiliations 27
Medicare Care Compare profile
- Specialty
- Orthopedic Surgery
- Education
- Medical College of Wisconsin, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Michigan Orthopaedic Spine Surgeons PC
Powerback Rehabilitation LLC
Sports and Orthopedic Rehabilitation Services Inc
Practice addresses (Care Compare)
1555 S Blvd E
Suite 310
Rochester Hills, MI 48307-5624
Phone (248) 215-8080
44003 Partridge Creek Blvd
Clinton TWP, MI 48038-0002
Phone (342) 627-3267
5347 Main St
Suite 202
New Port Richey, FL 34652-2520
Phone (727) 841-0515
Hospital & facility affiliations
- Residential Home Health and Hospice
- Beaumont Home Health
- John Paul Home Health Care
- Beaumont Hospital, Troy
- Scheurer Hospital
- Beaumont Hospital Royal Oak
- Hills & Dales General Hospital
- Harbor Beach Community Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 518 |
| Laminectomy or laminotomy (partial removal of spine bones) | 126 |
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
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041018000118 | MI | Practitioner - Orthopedic Surgery | 2466412259 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Orthopaedic Spine Surgeons PC | Orthopaedic Surgery | Current |
Accepting new patients |
| Michigan Orthopaedic Spine Surgeons PC | Past | Accepting new patients | |
| Bradley Ahlgren MD PC | Orthopaedic Surgery | Past |
Accepting new patients |
Locations
1254 N Main St
Lapeer, MI 48446
Phone (810) 664-4531
1555 South Blvd E
Ste 310
Rochester Hills, MI 48307
Phone (248) 215-8080
29624 Woodward Ave
Royal Oak, MI 48073
Phone (248) 215-8080
44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 4301054228 | MI | Yes |
Addresses
Primary practice location
1555 South Blvd E
Suite 310
Rochester Hills, MI 48307-5605
Mailing address
1555 South Blvd E
Suite 310
Rochester Hills, MI 48307-5605
Phone (248) 215-8095
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Troy | Direct |
Other providers in Rochester Hills, MI
- Agewell Family Counseling, LLC
- Rebekah Cathleen Agnew
- Seth Aguinaga
- Ah Rochester Hills Subtenant LLC
- Austin Tyler Ahlgren
- Zulfiqar Ahmad
- Ahmed E Ayoub MD PC
- Zakiya Ahmed
- Kristina Lynn Ahn
- Andrew Robb Aikens
All providers in Rochester Hills, MI · Orthopaedic Surgery 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 Dec 29, 2020. 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.
- 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.