Active NPI
Bradley Scott Klein, D.O.
- Psychiatry Physician
- Southfield, MI
National Provider Identifier
1922012400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- BK0205016
- Practice address
- 28336 Franklin Rd
Southfield, MI 48034-5503 - Phone
- (248) 357-3347
- Fax
- (248) 357-4447
- NPI assigned
- Jul 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | BK0205016 | MI | Primary |
Addresses
Primary practice location
28336 Franklin Rd
Southfield, MI 48034-5503
Mailing address
28336 Franklin Rd
Southfield, MI 48034-5503
Phone (248) 357-3347
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5101008014 | Other | MI | STATE LICENSE |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Birmingham Maple Clinic | Current | Accepting new patients | |
| Jeffrey a. London MD PC | Past | Accepting new patients | |
| American Arthritis & Rheumatology Associates -Mi PLLC | Past | Accepting new patients |
Locations
2075 W Big Beaver Rd
Ste 520
Troy, MI 48084
Phone (248) 646-6659
2075 W Big Beaver Rd
Troy, MI 48084
Phone (248) 646-6659
Organizations & group practices 3
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.
-
- Counselor
- Troy, MI
- NPI 1558412551
-
- Rheumatology Physician
- Sterling Heights, MI
- NPI 1538655469
-
- Medical Specialty Clinic/Center
- Troy, MI
- NPI 1861708257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922012400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28336 FRANKLIN RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480345503",
"telephone_number": "248-357-3347",
"fax_number": "248-357-4447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28336 FRANKLIN RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480345503",
"telephone_number": "248-357-3347",
"fax_number": "248-357-4447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEIN",
"first_name": "BRADLEY",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "BK0205016",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "5101008014",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.