Waterford Family Physicians

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WATERFORD FAMILY PHYSICIANS

Practice address

6620 Highland Rd
Suite 101
Waterford, MI 48327

Phone

(248) 666-9332

Fax

(248) 666-0340

NPI assigned

Oct 2, 2006

Last updated

Jun 23, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bradford J Woelke, M.D.NPI 1871585307

Title

Owner/Physician

Phone

(248) 666-9332

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Bradford J Woelke, M.D.

  • Family Medicine Physician
  • Waterford, MI
  • NPI 1871585307
  Authorized official Same address or phone

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435017600000",
    "number": "1871686766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6620 HIGHLAND RD",
            "address_2": "SUITE 101",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271682",
            "telephone_number": "248-666-9332",
            "fax_number": "248-666-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6620 HIGHLAND RD",
            "address_2": "SUITE 101",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "48327",
            "telephone_number": "248-666-9332",
            "fax_number": "248-666-0340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERFORD FAMILY PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2015-06-23",
        "status": "A",
        "authorized_official_last_name": "WOELKE",
        "authorized_official_first_name": "BRADFORD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "248-666-9332",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM GROUP ID NUMBER",
            "identifier": "010F363130",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Waterford Family Dental PLLC (Waterford Family Dental)
• Waterford Kids Dental Club, PLLC
• Waterford Medical Associates PC
• Waterford Medical Pharmacy Inc
• Waterford Oaks Senior Care Inc
• Waterford Pediatrics

• Family Medicine Physician in Waterford, MI
• Providers in Waterford, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2015; 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.