NPIMap

Organization Active NPI

Priti Bhardwaj MD PC

  • Internal Medicine Physician
  • Taylor, MI
National Provider Identifier
1851487904
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301069863 Issued in MI
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
Oct 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Debbie Lynn Rogers
Title
Office Manager
Phone
(313) 299-1243

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 4301069863 MI Primary

Addresses

Primary practice location

25420 Goddard Rd
Taylor, MI 48180-6200

Mailing address

25420 Goddard
Taylor, MI 48180
Phone (313) 299-8006

Other identifiers 1

IdentifierTypeStateIssuer
4332410MedicaidMI

National Provider Directory

National Provider Directory

Locations

22790 Harper Ave
St Clr Shores, MI 48080
Phone (313) 445-3070

Practitioners & affiliated clinicians

Practitioners 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851487904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25420 GODDARD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "48180",
            "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": "2006-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "313-299-1243",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301069863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4332410",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.