Gary Chodoroff MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

GC046805 Issued in MI

Legal business name

GARY CHODOROFF MD

Doing business as

Bingham Physical Medicine PLC

Practice address

30100 Telegraph Rd
Suite 177
Bingham Farms, MI 48025

Phone

(248) 647-1470

Fax

(248) 647-1472

NPI assigned

Jul 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Gary Chodoroff, M.D.

Title

Owner

Phone

(248) 647-1470

Specialties & licenses 1

Addresses

Other names 1

• Bingham Physical Medicine PLC Doing business as

Locations

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386288000000",
    "number": "1871510768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30100 TELEGRAPH RD",
            "address_2": "SUITE 177",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254514",
            "telephone_number": "248-647-1470",
            "fax_number": "248-647-1472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30100 TELEGRAPH RD",
            "address_2": "SUITE 177",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "48025",
            "telephone_number": "248-647-1470",
            "fax_number": "248-647-1472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY CHODOROFF MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2013-12-06",
        "status": "A",
        "authorized_official_last_name": "CHODOROFF",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-647-1470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "GC046805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bingham Physical Medicine PLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Janae Denise Garner
• Jasmine Imari Garrett-McNair
• Kierra Garrett
• Emerald Faye Garth
• Antoinette Garwood
• Emirene Garza
• Erica Dionne Gaston, LMSW
• Joi A Gaston
• Ralph Gaston
• Essence Alycze Gates

• Physical Medicine & Rehabilitation Physician in Bingham Farms, MI
• Providers in Bingham Farms, MI by specialty
• Physical Medicine & Rehabilitation Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2013; 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.