Individual provider Active NPI

Asia Maxine Bradley, M.D.

  • Family Medicine Physician
  • Southfield, MI
National Provider Identifier
1821437211
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301103585 Issued in MI
Practice address
27211 Lahser Rd Ste 205
Southfield, MI 48034-8477
Phone
(248) 809-1001
Fax
(248) 809-1005
NPI assigned
Jun 18, 2013
Last updated
Mar 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301103585 MI Primary
Internal Medicine Physician 207R00000X 4301103585 MI

Addresses

Primary practice location

27211 Lahser Rd Ste 205
Southfield, MI 48034-8477

Mailing address

27211 Lahser Rd Ste 205
Southfield, MI 48034-8477
Phone (248) 234-2642

Other practice location 1

18101 Oakwood Blvd
Dearborn, MI 48124-4089
Phone (313) 436-2577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150305002226 OH Practitioner - Internal Medicine 9931425139 Reassigns benefits to 1 organization
I20181120000654 MI Practitioner - Internal Medicine 9931425139 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301103585MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
VHS Physicians of Michigan Internal Medicine CurrentSince Oct 9, 2018 Accepting new patients
Aml Medical PLLC Family Medicine CurrentSince Jul 26, 2018 Accepting new patients
Greater Toledo Urgent Cares, LLC. CurrentSince Feb 1, 2015 Accepting new patients
Greater Toledo Urgent Cares, LLC. CurrentSince Feb 1, 2015 Accepting new patients
Wellstreet Urgent Care of Michigan PastSince Aug 6, 2023 Accepting new patients

Locations

18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780

3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227

17330 Northland Park Ct
Ste 205
Southfield, MI 48075
Phone (248) 809-2853

27211 Lahser Rd
Ste 205
Southfield, MI 48034
Phone (248) 809-1001

2627 Tremainsville Rd
Toledo, OH 43613
Phone (419) 214-0790

4405 N Holland Sylvania Rd
Toledo, OH 43623
Phone (910) 297-7270

Interoperability endpoints

  • Direct secure messaging: asia.bradley@49428401684484.direct.elationemr.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1821437211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27211 LAHSER RD STE 205",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480348477",
            "telephone_number": "248-234-2642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27211 LAHSER RD STE 205",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480348477",
            "telephone_number": "248-809-1001",
            "fax_number": "248-809-1005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18101 Oakwood Blvd",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481244089",
            "country_code": "US",
            "telephone_number": "313-436-2577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "ASIA",
        "middle_name": "MAXINE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-18",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301103585",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301103585",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.