Birmingham Medical PLLC
Organization Active NPI Family Medicine Physician · Birmingham, MI
NPI 1982806782 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1982806782
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- BIRMINGHAM MEDICAL PLLC
- Practice address
- 180 E Brown St
Birmingham, MI 48009-6237 - Phone
- (248) 645-1000
- NPI assigned
- Jun 4, 2007
- Organization subpart
- No
Authorized official
- Name
- Lyle Scott Grant, MD
- Title
- Owner
- Phone
- (248) 645-1000
Practitioners 1
-
Lyle 'Scott' Grant, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110224000860 | MI | Part B Supplier - Clinic/Group Practice | 3870774730 |
Receives reassigned benefits from 1 practitioner Practice locations: Southfield, MI |
National Provider Directory
Locations
180 E Brown St
Birmingham, MI 48009
Phone (248) 593-9999
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
180 E Brown St
Birmingham, MI 48009-6237
Mailing address
180 E Brown St
Birmingham, MI 48009-6237
Phone (248) 645-1000
Other providers in Birmingham, MI
- Birmingham Dental Care
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- Birmingham Family Therapy Clinic, Inc
- Birmingham Family YMCA
- Birmingham Medical Supply & Repair LLC
- Birmingham Oral & Maxillofacial Surgery, PLC
- Birmingham Pharmacy
- Birmingham Skin & Hair Aesthetics PLLC
- Birmingham Speech and Language, PLLC
All providers in Birmingham, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.