NPIMap

Organization Active NPI

Medical Rehabilitation Physicians

  • Medical Physician Assistant
  • West Bloomfield, MI
National Provider Identifier
1831527175
Registry record updated Oct 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
4704253934 Issued in MI
Legal business name
MEDICAL REHABILITATION PHYSICIANS
Practice address
6079 W Maple Rd
#100B
West Bloomfield, MI 48322-2283
Phone
(248) 851-7246
Fax
(248) 851-7223
NPI assigned
Oct 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2013

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

Authorized official

Name
Marvin N Bleiberg, MDNPI 1356307052
Title
Medical Director
Phone
(989) 772-1609

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
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AM0700X 4704253934 MI Primary

Addresses

Primary practice location

6079 W Maple Rd
#100B
West Bloomfield, MI 48322-2283

Mailing address

2480 W Campus Dr
Ste 500
Mount Pleasant, MI 48858-5414
Phone (989) 772-1609

Other identifiers 1

IdentifierTypeStateIssuer
4704253934OtherMISTATE LICENSE

Other names 1

  • Michigan Spine and Pain Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Medical Rehabilitation Physicians2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6079 W Maple Rd
Ste 100B
West Bloomfield, MI 48322
Phone (248) 851-7246

Practitioners & affiliated clinicians

Practitioners 1

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": "1382572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382572800000",
    "number": "1831527175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2480 W CAMPUS DR",
            "address_2": "STE 500",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488585414",
            "telephone_number": "989-772-1609",
            "fax_number": "989-772-6279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6079 W MAPLE RD",
            "address_2": "#100B",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483222283",
            "telephone_number": "248-851-7246",
            "fax_number": "248-851-7223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL REHABILITATION PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-24",
        "last_updated": "2013-10-24",
        "status": "A",
        "authorized_official_last_name": "BLEIBERG",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "989-772-1609",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "4704253934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "4704253934",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michigan Spine and Pain",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2013; 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.