Bradley Ahlgren MD PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

BA054228 Issued in MI

Legal business name

BRADLEY AHLGREN MD PC

Practice address

1555 South Blvd E
Rochester Hills, MI 48307-5605

Phone

(248) 215-8080

Fax

(248) 289-1086

NPI assigned

Aug 31, 2006

Last updated

Sep 21, 2012By 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

Bradley D Ahlgren, MDNPI 1790766871

Title

President

Phone

(248) 215-8080

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Bradley D Ahlgren, MD

  • Orthopaedic Surgery Physician
  • Rochester Hills, MI
  • NPI 1790766871
  NPD (past) Authorized official

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348185600000",
    "number": "1922119130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 SOUTH BLVD E",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075605",
            "telephone_number": "248-215-8080",
            "fax_number": "248-289-1086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 SOUTH BLVD E",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075605",
            "telephone_number": "248-215-8080",
            "fax_number": "248-289-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY AHLGREN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2012-09-21",
        "status": "A",
        "authorized_official_last_name": "AHLGREN",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-215-8080",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "BA054228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4233350 10",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Braatz
• Erik Brace, DC
• Amanda L Brackins, PMHNP
• Kevin Bradacs, MA, LPC
• Bradford Merrelli MD PC
• Christina N Bradley, FNP-C
• Brady T. Vibert, MD, PC
• Tony Joseph Brady, PA
• Kambiz Bral, MD
• Gregg Dean Branham, DO

• Orthopaedic Surgery Physician in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Orthopaedic Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2012; 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.