Hampton Medical Center, PC

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

5101007447 Issued in MI

Legal business name

HAMPTON MEDICAL CENTER, PC

Practice address

30550 Utica Rd
Roseville, MI 48066-1528

Phone

(586) 771-0290

Fax

(586) 771-5450

NPI assigned

Jan 31, 2007

Last updated

Aug 22, 2020By 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. Bruce Gilbert Johnson, DO

Title

Physician

Phone

(586) 771-0290

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912044611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30550 UTICA RD",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480661528",
            "telephone_number": "586-771-0290",
            "fax_number": "586-771-5450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30550 UTICA RD",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480661528",
            "telephone_number": "586-771-0290",
            "fax_number": "586-771-5450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMPTON MEDICAL CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "GILBERT",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "586-771-0290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MI",
            "license": "5101007447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Haidar, M.D.
• Jeffrey Maurice Hall, M.D.
• Suzanne Hall, M.D.
• Deborah D Hamby, M.D.
• Hamilton Havens LLC
• Gerald D Hampton, LPC,CAADC
• Hanger Prosthetics & Orthotics Inc (Hanger Clinic)
• William Dominic Hanna, MD
• Jimmy Charbel Haouilou, M.D.
• Briana Harkiewicz, MSN FNP-BC

• Geriatric Medicine (Internal Medicine) Physician in Roseville, MI
• Providers in Roseville, MI by specialty
• Geriatric Medicine (Internal Medicine) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.