Organization Active NPI

Teresa Birkmeier-Fredal MD PLLC

  • Family Medicine Physician
  • Berkley, MI
National Provider Identifier
1841515145
Registry record updated Mar 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301074918 Issued in MI
Legal business name
TERESA BIRKMEIER-FREDAL MD PLLC
Practice address
2770 Coolidge Hwy
Berkley, MI 48072-1557
Phone
(248) 259-3773
Fax
(248) 439-1981
NPI assigned
Mar 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2010

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

Authorized official

Name
Dr. Teresa Sue Birkmeier-Fredal
Title
Owner
Phone
(248) 259-3773

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 4301074918 MI Primary

Addresses

Primary practice location

2770 Coolidge Hwy
Berkley, MI 48072-1557

Mailing address

2770 Coolidge Hwy
Berkley, MI 48072-1557
Phone (248) 259-3773

National Provider Directory

National Provider Directory

Locations

2770 Coolidge Hwy
Berkley, MI 48072
Phone (248) 397-8122

NPI Registry JSON

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

{
    "created_epoch": "1269907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269907200000",
    "number": "1841515145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2770 COOLIDGE HWY",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480721557",
            "telephone_number": "248-259-3773",
            "fax_number": "248-439-1981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 COOLIDGE HWY",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480721557",
            "telephone_number": "248-259-3773",
            "fax_number": "248-439-1981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERESA BIRKMEIER-FREDAL MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-30",
        "last_updated": "2010-03-30",
        "status": "A",
        "authorized_official_last_name": "BIRKMEIER-FREDAL",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-259-3773",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301074918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkley, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; 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.