NPIMap

Organization Active NPI

West Bloomfield Pediatrics PLLC

Doing business as Well-Being Pediatrics

  • Pediatrics Physician
  • Novi, MI
National Provider Identifier
1871660324
Registry record updated Nov 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
WEST BLOOMFIELD PEDIATRICS PLLC
Doing business as
Well-Being Pediatrics
Practice address
46325 W 12 Mile Rd
Novi, MI 48377-2456
Phone
(248) 596-1000
Fax
(248) 230-5482
NPI assigned
Nov 29, 2006
Last updated
Nov 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2023

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

Authorized official

Name
Dr. Seth H Forman, MDNPI 1568439669
Title
Physician
Phone
(248) 596-1000

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)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

46325 W 12 Mile Rd
Novi, MI 48377-2456

Mailing address

46325 W 12 Mile Rd Ste 240
Novi, MI 48377-2462
Phone (248) 596-1000

Other identifiers 1

IdentifierTypeStateIssuer
350F317530OtherMIBCBS

Other names 1

  • Well-Being Pediatrics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Well-Being Pediatrics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

46325 W Twelve Mile Rd
Ste 240
Novi, MI 48377
Phone (248) 596-1000

6400 Farmington Rd
Ste 10
West Bloomfield, MI 48322
Phone (248) 788-1200

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700784000000",
    "number": "1871660324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46325 W 12 MILE RD STE 240",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772462",
            "telephone_number": "248-596-1000",
            "fax_number": "248-305-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46325 W 12 MILE RD",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772456",
            "telephone_number": "248-596-1000",
            "fax_number": "248-230-5482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST BLOOMFIELD PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2023-11-24",
        "certification_date": "2023-11-24",
        "status": "A",
        "authorized_official_last_name": "FORMAN",
        "authorized_official_first_name": "SETH",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "248-596-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "350F317530",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Well-Being Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2023; 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.