Zachary Bryant Adkins, MD
Individual provider Active NPI Surgery Physician · Warren, MI
NPI 1821671835 · NPPES record last updated Jun 30, 2022
Key facts
- NPI
- 1821671835
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 4351048178APP21 (MI)
- Practice address
- 11800 E 12 Mile Rd
Warren, MI 48093-3472 - Phone
- (586) 576-4720
- NPI assigned
- Apr 28, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4351048178APP21 | MI | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension Macomb Oakland Hospital | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 4351048178APP21 | MI | Yes |
Addresses
Primary practice location
11800 E 12 Mile Rd
Warren, MI 48093-3472
Mailing address
18353 W 13 Mile Rd
Apt 34
Southfield, MI 48076-8031
Phone (901) 413-4721
Other practice location 1
22250 Providence Drive, 7PMB
Suite #703A
Southfield, MI 48075-4818
Phone (248) 849-5862
Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.