Bruce Thuyenmy Chau, D.O.
Individual provider Active NPI Plastic Surgery Physician · Berkley, MI
NPI 1821173444 · NPPES record last updated Dec 20, 2010
Key facts
- NPI
- 1821173444
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Plastic Surgery Physician 208200000X
- License
- 5101008859 (MI)
- Practice address
- 27901 Woodward Ave
Suite 100
Berkley, MI 48072-0919 - Phone
- (248) 799-2880
- Fax
- (248) 414-3959
- NPI assigned
- Oct 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Plastic and Reconstructive Surgery
- Education
- College of Osteo Med of the Pacific at Pomona, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Chau Plastic Surgery PC
Practice addresses (Care Compare)
27901 Woodward Ave
Suite 100
Berkley, MI 48072-0920
Phone (248) 799-2880
Hospital & facility affiliations
- Huron Valley-Sinai Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
| Mastectomy | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
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 |
|---|---|---|---|---|
| I20050404000379 | MI | Practitioner - Plastic and Reconstructive Surgery | 9436106432 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101008859 | MI | MD | Plastic Surgery Physician |
Interoperability endpoints
- bchau@direct.dmc.org
- bchau1120862@direct.hfhs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 5101008859 | MI | Yes |
Addresses
Primary practice location
27901 Woodward Ave
Suite 100
Berkley, MI 48072-0919
Mailing address
27901 Woodward Ave
Suite 100
Berkley, MI 48072-0919
Phone (248) 799-2880
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2456312884 | Other | MI | BLUE CROSS BLUE SHIELD |
| 5631288 | Other | MI | BLUE CARE NETWORK |
| 4555188 | Other | MI | AETNA |
| E14849 | Other | MI | HAP |
| 17035 | Other | MI | MCARE |
Other providers in Berkley, MI
- Cataract Specialty Surgical Center, LLC
- Jason Phillip Cauley
- Souad Chadid
- Rima Kanaan Charara
- Chau Plastic Surgery PC
- Ali Hassan Chehab
- David Weiss Chomet
- Ann Christina
- Christine C. Cantrell, PHD, LLC
- Alan Charles Cirilli
All providers in Berkley, MI · Plastic 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 20, 2010. 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.