Active NPI
Bernard S Lofman, D.O.
- Family Medicine Physician
- Westland, MI
National Provider Identifier
1841276532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101005503
- Practice address
- 6149 N Wayne Rd
Westland, MI 48185-7128 - Phone
- (734) 728-2130
- Fax
- (734) 728-2626
- NPI assigned
- Dec 15, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101005503 | MI | Primary |
Addresses
Primary practice location
6149 N Wayne Rd
Westland, MI 48185-7128
Mailing address
6149 N Wayne Rd
Westland, MI 48185-7128
Phone (734) 728-2130
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841276532 | Medicaid | MI | |
| 700H219150 | Other | MI | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Centers Detroit Foundation, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Health Centers Detroit MedicalGroup
- Federally Qualified Health Center (FQHC)
- Detroit, MI
- NPI 1518026541
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297987200000",
"number": "1841276532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6149 N WAYNE RD",
"city": "WESTLAND",
"state": "MI",
"postal_code": "481857128",
"telephone_number": "734-728-2130",
"fax_number": "734-728-2626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6149 N WAYNE RD",
"city": "WESTLAND",
"state": "MI",
"postal_code": "481857128",
"telephone_number": "734-728-2130",
"fax_number": "734-728-2626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOFMAN",
"first_name": "BERNARD",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-15",
"last_updated": "2011-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101005503",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1841276532",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "700H219150",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.