Individual provider Active NPI

Randall A. Bickle, D.O.

  • Family Medicine Physician
  • Livonia, MI
National Provider Identifier
1861462830
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101008853 Issued in MI
Practice address
37675 Pembroke Ave
Livonia, MI 48152-1050
Phone
(734) 779-1000
Fax
(734) 779-1001
NPI assigned
Jan 24, 2006
Last updated
Jun 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101008853 MI Primary

Addresses

Primary practice location

37675 Pembroke Ave
Livonia, MI 48152-1050

Mailing address

37675 Pembroke Ave
Livonia, MI 48152-1050
Phone (734) 779-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040428001194 MI Practitioner - Family Practice 7719974062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

14555 Levan Rd
Suite 403
Livonia, MI 48154-5085
Phone (734) 655-1618

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
St Mary Mercy Physician Practices CurrentSince May 1, 2017 Accepting new patients
St Mary Mercy Physician Practices CurrentSince May 1, 2017 Accepting new patients
Randall Bickle DO PLLC Family Medicine Current Accepting new patients
Envision Diagnostic Center PLLC Family Medicine Past Accepting new patients
Park Family Health Care, P.C. Family Medicine PastSince May 1, 2020 Accepting new patients
Randall a. Bickle, DO., PC Family Medicine PastSince Oct 18, 2008 Accepting new patients

Locations

14555 Levan Rd
Ste 112
Livonia, MI 48154
Phone (734) 712-1000

14555 Levan Rd
Ste 403
Livonia, MI 48154
Phone (734) 462-4000

19000 St Joes Pkwy
Ste 310
Livonia, MI 48152
Phone (248) 743-4490

36475 5 Mile Rd
Livonia, MI 48154
Phone (734) 464-4800

37675 Pembroke Ave
Livonia, MI 48152
Phone (734) 779-1000

Interoperability endpoints

  • Direct secure messaging: rbickle25935@direct.trinity-health.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1861462830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37675 PEMBROKE AVE",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521050",
            "telephone_number": "734-779-1000",
            "fax_number": "734-779-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37675 PEMBROKE AVE",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521050",
            "telephone_number": "734-779-1000",
            "fax_number": "734-779-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BICKLE",
        "first_name": "RANDALL",
        "middle_name": "A.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101008853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.