Reginald N Eburuche Sr., MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301080385 Issued in MI

Practice address

26206 W 12 Mile Rd
Ste 302
Southfield, MI 48034-8501

Phone

(248) 440-6090

Fax

(248) 440-6094

NPI assigned

Jan 17, 2006

Last updated

Jan 5, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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

• Home Visit MD PLC

  • Internal Medicine Physician
  • Southfield, MI
  • NPI 1205964012
  Authorized official Same address or phone
• Renovis Care Company

  • Internal Medicine Physician
  • Southfield, MI
  • NPI 1528750130
  NPD
• Sound Health

  dba Sound Helth

  • Internal Medicine Physician
  • Southfield, MI
  • NPI 1982301115
  NPD
• Sciometrix Inc

  • General Practice Physician
  • Staten Island, NY
  • NPI 1457065591
  NPD
• Dr. Reginald Eburuche, MD PLC

  • Internal Medicine Physician
  • Southfield, MI
  • NPI 1649329913
  NPD (past)

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325721600000",
    "number": "1932189958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250077",
            "city": "FRANKLIN",
            "state": "MI",
            "postal_code": "480250077",
            "telephone_number": "313-549-5051",
            "fax_number": "248-440-6094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26206 W 12 MILE RD",
            "address_2": "STE 302",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480348501",
            "telephone_number": "248-440-6090",
            "fax_number": "248-440-6094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBURUCHE",
        "first_name": "REGINALD",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2012-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301080385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "470773210",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alviana Davion Eaton, CHW
• Kyle Warwick Eaton, MD
• Eaze Pamperme Pretty LLC (Amour Maison)
• Noemi Ebenstein, PHD
• Patricia J Eble, NP
• Echelon Homecare Services
• Echols Support Services, Inc.
• Katrina Echols-Johnson
• Justice C Echols, MD
• Richard Lawrence Echols

• 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 Jan 5, 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.