NPIMap

Individual provider Active NPI

Bradley D Ahlgren, MD

  • Orthopaedic Surgery Physician
  • Rochester Hills, MI
National Provider Identifier
1790766871
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
4301054228 Issued in 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
Last updated
Dec 29, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 4301054228 MI Primary

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 1

TypeEndpointUseAffiliation
CONNECT URL Troy Direct

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
I20041018000118 MI Practitioner - Orthopedic Surgery 2466412259 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 PCGroup PAC ID 3779732466, 15 clinicians
Powerback Rehabilitation LLCGroup PAC ID 2365359932, shared by 106 NPIs, 600 clinicians
Sports and Orthopedic Rehabilitation Services IncGroup PAC ID 0840104253, shared by 4 NPIs, 314 clinicians

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion518
Laminectomy or laminotomy (partial removal of spine bones)126

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Orthopaedic Spine Surgeons PC Orthopaedic Surgery CurrentSince Jun 1, 2013 Accepting new patients
Michigan Orthopaedic Spine Surgeons PC Past Accepting new patients
Bradley Ahlgren MD PC Orthopaedic Surgery PastSince Aug 22, 1995 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

Organizations & group practices 3

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 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1790766871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 SOUTH BLVD E",
            "address_2": "SUITE 310",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075605",
            "telephone_number": "248-215-8095",
            "fax_number": "248-289-1086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 SOUTH BLVD E",
            "address_2": "SUITE 310",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075605",
            "telephone_number": "248-215-8095",
            "fax_number": "248-289-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHLGREN",
        "first_name": "BRADLEY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "4301054228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Troy",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1555 South Blvd E",
            "address_2": "Suite 310",
            "city": "Rochester Hills",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483075605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.