Individual provider Active NPI

Brad Vamplew, PA-C

  • Medical Physician Assistant
  • Royal Oak, MI
National Provider Identifier
1902443047
Registry record updated Dec 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5601009537 Issued in MI
Practice address
31157 Woodward Ave
Royal Oak, MI 48073-0996
Phone
(248) 336-0123
NPI assigned
Dec 9, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AM0700X 5601009537 MI Primary

Addresses

Primary practice location

31157 Woodward Ave
Royal Oak, MI 48073-0996

Mailing address

13716 Leroy St
Southgate, MI 48195-3112
Phone (734) 341-1671

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200116002362 MI Practitioner - Physician Assistant 5991130122 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstreet Urgent Care of MichiganGroup PAC ID 6305188491, 129 clinicians

Practice addresses (Care Compare)

15959 Hall Rd
Suite 104
Macomb, MI 48044-5364
Phone (586) 884-2688

2078 E Big Beaver Rd
Beaumont Urgent Care of Michigan
Troy, MI 48083-2301
Phone (248) 918-0744

27810 Grand River Ave
Farmington Hills, MI 48336-5916
Phone (248) 957-1989

3200 Walton Blvd
Rochester Hills, MI 48309-1200
Phone (248) 809-5224

6470 Orchard Lake Rd
West Bloomfield, MI 48322-2337
Phone (248) 419-8019

6543 Telegraph Rd
Bloomfield Township, MI 48301-3066
Phone (248) 940-4751

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.04 of 100Reported as group
Quality
67.93
Promoting interoperability
100
Improvement activities
40
Cost
52.21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601009537MIMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Washtenaw Urgent Care Multi-Specialty Current Accepting new patients
Michigan Healthcare Professionals, P.C. Multi-Specialty CurrentSince Dec 16, 2019 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Dec 16, 2019 Accepting new patients
Wellstreet Urgent Care of Michigan PastSince Aug 6, 2023 Accepting new patients

Locations

3280 Washtenaw Ave
Ann Arbor, MI 48104
Phone (734) 225-9300

6815 Dixie Hwy
Clarkston, MI 48346
Phone (248) 625-1011

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

31157 Woodward Ave
Royal Oak, MI 48073
Phone (248) 288-2250

4600 Investment Dr
Ste 370
Troy, MI 48098
Phone (248) 267-5030

Organizations & group practices 7

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

Hospital & facility affiliations 3

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": "1575849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1902443047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13716 LEROY ST",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481953112",
            "telephone_number": "734-341-1671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31157 WOODWARD AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480730996",
            "telephone_number": "248-336-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAMPLEW",
        "first_name": "BRAD",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-09",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601009537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

Verify at the official NPI Registry.