Boniface a. Tubie, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301072901 Issued in MI

Legal business name

BONIFACE A. TUBIE, M.D.

Practice address

20755 Greenfield Rd
Suite #203
Southfield, MI 48075-5403

Phone

(248) 395-2206

Fax

(248) 395-0456

NPI assigned

Sep 8, 2006

Last updated

Sep 11, 2025By 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

Dr. Boniface Atakekor Tubie, M.D.NPI 1821144577

Title

Physician/ Ceo

Phone

(248) 395-2206

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Delta Renal Group, P.C. Other name

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.

• Boniface Atakekor Tubie, M.D.

  • Nephrology Physician
  • Southfield, MI
  • NPI 1821144577
  Authorized official Same address or phone

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1912001314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6915 DOBBS WAY",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223077",
            "telephone_number": "248-592-1518",
            "fax_number": "248-395-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20755 GREENFIELD RD",
            "address_2": "SUITE #203",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755403",
            "telephone_number": "248-395-2206",
            "fax_number": "248-395-0456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONIFACE A. TUBIE, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "TUBIE",
        "authorized_official_first_name": "BONIFACE",
        "authorized_official_middle_name": "ATAKEKOR",
        "authorized_official_title_or_position": "PHYSICIAN/ CEO",
        "authorized_official_telephone_number": "248-395-2206",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301072901",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "MI",
            "license": "43010729901",
            "primary": false
        },
        {
            "code": "246ZN0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Nephrology",
            "state": "MI",
            "license": "4301072901",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4341231",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delta Renal Group, P.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Christina Rose Bonacorsi, LPC
• Madison Bonaminio
• Kathryn Bonar
• Charmaine Bond, RN, LMT
• Serena Bond
• Patricia Lina Bonnefil, MD
• Joi Christine Bonner
• Sharon Susie Bonner, RN
• Peter Louis Bono, DO
• Simina Bono, DPT

• Internal Medicine Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.