Bridgeview Medical Clinic, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BRIDGEVIEW MEDICAL CLINIC, PC

Practice address

39833 Bridgeview St
Harrison Township, MI 48045-1601

Phone

(586) 627-2727

NPI assigned

Jul 2, 2006

Organization subpart

No

Name

Dr. Martha J Shadel, D.O.

Title

Medical Director

Phone

(586) 627-2727

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992734800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39833 BRIDGEVIEW ST",
            "city": "HARRISON TOWNSHIP",
            "state": "MI",
            "postal_code": "480451601",
            "telephone_number": "586-627-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39833 BRIDGEVIEW ST",
            "city": "HARRISON TOWNSHIP",
            "state": "MI",
            "postal_code": "480451601",
            "telephone_number": "586-627-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEVIEW MEDICAL CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHADEL",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "586-627-2727",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Ash III
• Jeremy R Beck
• Renee Berlingieri, OD
• Kusum Bhana, OTR/L
• Bridgeview Home Health Care LLC
• Wendy Briggs
• Carmon D Brown, MA
• Kimberly Shaundel Brown
• Maria Elaine Buccilli, LPC, NCC
• Charter Township of Harrison

• All providers in Harrison Township, MI
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.