Plumbrook Medical Center PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

FN009587 Issued in MI

Legal business name

PLUMBROOK MEDICAL CENTER PC

Doing business as

Dr Leroy S Neumann and Dr Fredric I Neumann

Practice address

39880 Van Dyke
Ste 102
Sterling Hghts, MI 48313

Phone

(586) 939-9060

Fax

(586) 939-6639

NPI assigned

Sep 22, 2006

Last updated

Mar 7, 2023By 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. Fredric I Neumann, DONPI 1013009901

Title

President

Phone

(586) 939-9060

Specialties & licenses 2

Addresses

Other identifiers 6

Other names 1

• Dr Leroy S Neumann and Dr Fredric I Neumann Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

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.

• Fredric I Neumann I, D.O.

  • Family Medicine Physician
  • Sterling Heights, MI
  • NPI 1013009901
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1942309091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39880 VAN DYKE",
            "address_2": "STE 102",
            "city": "STERLING HGHTS",
            "state": "MI",
            "postal_code": "48313",
            "telephone_number": "586-939-9060",
            "fax_number": "586-939-6639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39880 VAN DYKE",
            "address_2": "STE 102",
            "city": "STERLING HGHTS",
            "state": "MI",
            "postal_code": "48313",
            "telephone_number": "586-939-9060",
            "fax_number": "586-939-6639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLUMBROOK MEDICAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "NEUMANN",
        "authorized_official_first_name": "FREDRIC",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-939-9060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "FN009587",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "LN004676",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "080E01042",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080082386",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "23D0371615",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3229747",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "43253579",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3229756",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Leroy S Neumann and Dr Fredric I Neumann",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Murad Dental Center PC

• Family Medicine Physician in Sterling Hghts, MI
• Providers in Sterling Hghts, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.