Individual provider Active NPI

Wilbur Joseph Boike, MD

  • Neurology Physician
  • Grand Blanc, MI
National Provider Identifier
1861583890
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
4301043693 Issued in MI
Practice address
1537 E Hill Rd Ste 350
Grand Blanc, MI 48439-5187
Phone
(810) 603-2000
Fax
(810) 603-2002
NPI assigned
Sep 27, 2006
Last updated
Dec 14, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 4301043693 MI Primary

Addresses

Primary practice location

1537 E Hill Rd Ste 350
Grand Blanc, MI 48439-5187

Mailing address

1537 E Hill Rd Ste 350
Grand Blanc, MI 48439-5187
Phone (810) 603-2000

Other identifiers 1

IdentifierTypeStateIssuer
1964520MedicaidMI

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
I20060310000284 MI Practitioner - Neurology 3173530557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Michigan Medical School, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1537 E Hill Rd
Suite 350
Grand Blanc, MI 48439-5187
Phone (810) 603-2000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Boike Medical Services PLLC Neurology CurrentSince Feb 1, 2006 Accepting new patients
Genesys Regional Medical Center Past Accepting new patients

Locations

2601 Cambridge Ct
Ste 235
Auburn Hills, MI 48326
Phone (248) 377-1950

1537 E Hill Rd
Ste 350
Grand Blanc, MI 48439
Phone (810) 603-2000

Organizations & group practices 2

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 1

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1861583890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1537 E HILL RD STE 350",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484395187",
            "telephone_number": "810-603-2000",
            "fax_number": "810-603-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1537 E HILL RD STE 350",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484395187",
            "telephone_number": "810-603-2000",
            "fax_number": "810-603-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOIKE",
        "first_name": "WILBUR",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "4301043693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1964520",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

Verify at the official NPI Registry.