Organization Active NPI

Randall a. Bickle, DO., PC

  • Family Medicine Physician
  • Northville, MI
National Provider Identifier
1831160563
Registry record updated Oct 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RANDALL A. BICKLE, DO., PC
Practice address
42000 6 Mile Rd
Suite 201
Northville, MI 48168-4336
Phone
(248) 735-9100
Fax
(248) 735-9101
NPI assigned
Jan 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2007

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

Authorized official

Name
Randall A. Bickle, D.O.NPI 1861462830
Title
President
Phone
(734) 266-2780

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X MI Primary

Addresses

Primary practice location

42000 6 Mile Rd
Suite 201
Northville, MI 48168-4336

Mailing address

42000 6 Mile Rd
Suite 201
Northville, MI 48168-4336
Phone (248) 735-9100

National Provider Directory

National Provider Directory

Locations

4000 Allen Rd
#111
Allen Park, MI 48101

42000 6 Mile Rd
Ste 201
Northville, MI 48168
Phone (248) 735-9100

42000 6 Mile Rd
Northville, MI 48168
Phone (248) 305-9380

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192752000000",
    "number": "1831160563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42000 6 MILE RD",
            "address_2": "SUITE 201",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481684336",
            "telephone_number": "248-735-9100",
            "fax_number": "248-735-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42000 6 MILE RD",
            "address_2": "SUITE 201",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481684336",
            "telephone_number": "248-735-9100",
            "fax_number": "248-735-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL A. BICKLE, DO., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-31",
        "last_updated": "2007-10-19",
        "status": "A",
        "authorized_official_last_name": "BICKLE",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-266-2780",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.