Active NPI
Priti Bhardwaj MD PC
- Internal Medicine Physician
- Taylor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301069863
- Legal business name
- PRITI BHARDWAJ MD PC
- Practice address
- 25420 Goddard Rd
Taylor, MI 48180-6200 - Phone
- (313) 299-8006
- Fax
- (313) 299-8009
- NPI assigned
- Jan 26, 2007
- Last updated
- Oct 4, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Priti Bhardwaj, MD
- Title
- Office Manager
- Phone
- (313) 388-1666
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301069863 | MI | Primary |
Addresses
Primary practice location
25420 Goddard Rd
Taylor, MI 48180-6200
Mailing address
25420 Goddard Rd
Taylor, MI 48180-6200
Phone (313) 299-8006
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104332410 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1704 Papalas Dr
Lincoln Park, MI 48146
Phone (313) 389-0100
28588 Northwestern Hwy
Southfield, MI 48034
Phone (248) 357-7766
21611 E 11 Mile Rd
St Clr Shores, MI 48081
Phone (586) 771-7200
20500 Eureka Rd
Ste 211
Taylor, MI 48180
Phone (734) 283-5643
10882 Beech Daly Rd
Taylor, MI 48180
Phone (313) 291-2782
25420 Goddard Rd
Taylor, MI 48180
Phone (313) 299-7243
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JIHFBA
Practitioners & affiliated clinicians
Practitioners 22
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Taylor, MI
- NPI 1205879434
-
- Family Nurse Practitioner
- Lincoln Park, MI
- NPI 1316660145
-
- Family Nurse Practitioner
- Detroit, MI
- NPI 1033561188
-
- Nurse Practitioner
- Livonia, MI
- NPI 1477021079
-
- Acute Care Nurse Practitioner
- Southfield, MI
- NPI 1548913106
-
- Psychiatric/Mental Health Nurse Practitioner
- Southfield, MI
- NPI 1003393695
-
- Nurse Practitioner
- Sterling Heights, MI
- NPI 1609363431
-
- Family Nurse Practitioner
- Saginaw, MI
- NPI 1750067278
-
- Psychiatry Physician
- Wyandotte, MI
- NPI 1578175410
-
- Primary Care Nurse Practitioner
- Commerce Township, MI
- NPI 1417313800
-
- Physician Assistant
- Adrian, MI
- NPI 1427567569
-
- Adult Medicine Physician
- Lincoln Park, MI
- NPI 1548045560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1317686400000",
"number": "1851447692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25420 GODDARD RD",
"city": "TAYLOR",
"state": "MI",
"postal_code": "481806200",
"telephone_number": "313-299-8006",
"fax_number": "313-299-8009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25420 GODDARD RD",
"city": "TAYLOR",
"state": "MI",
"postal_code": "481806200",
"telephone_number": "313-299-8006",
"fax_number": "313-299-8009"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRITI BHARDWAJ MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-26",
"last_updated": "2011-10-04",
"status": "A",
"authorized_official_last_name": "BHARDWAJ",
"authorized_official_first_name": "PRITI",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "313-388-1666",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301069863",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104332410",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Taylor, MI
- Grant James Prenzler, MA, LPC, ATR
- Stephanie Preston, LLMSW
- Preventative Primary Care
- Preventative Therapy, LLC
- Primecare Physical Therapy and Rehab, Inc
- Priti Bhardwaj MD PC
- Pro Dental Mi 1 PC (Destiny Dental of Taylor)
- Pro Physical Therapy & Rehab, PLC
- Pro RX Inc (Taylor Discount Drugs)
- Proactive Quality Elite Care
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.