NPIMap

Organization Active NPI

West Bloomfield Pediatrics PLLC

  • Pediatrics Physician
  • W Bloomfield, MI
National Provider Identifier
1992919203
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301068662 Issued in MI
Legal business name
WEST BLOOMFIELD PEDIATRICS PLLC
Practice address
6400 Farmington Road
Suite Ten
W Bloomfield, MI 48322
Phone
(248) 788-1200
Fax
(248) 788-2346
NPI assigned
May 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Steven B Glickfield, DONPI 1346356276
Title
Physician
Phone
(248) 788-1200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X 4301086791 MI
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X 4301076640 MI
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X 5101006183 MI
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X 4301068662 MI Primary

Addresses

Primary practice location

6400 Farmington Road
Suite Ten
W Bloomfield, MI 48322

Mailing address

46325 West Twelve Mile Road
Suite 240
Novi, MI 48377
Phone (248) 596-1000

National Provider Directory

National Provider Directory
Tax ID family
Well-Being Pediatrics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992919203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46325 WEST TWELVE MILE ROAD",
            "address_2": "SUITE 240",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "48377",
            "telephone_number": "248-596-1000",
            "fax_number": "248-305-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 FARMINGTON ROAD",
            "address_2": "SUITE TEN",
            "city": "W BLOOMFIELD",
            "state": "MI",
            "postal_code": "48322",
            "telephone_number": "248-788-1200",
            "fax_number": "248-788-2346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST BLOOMFIELD PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GLICKFIELD",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "248-788-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301086791",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301076640",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "5101006183",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301068662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in W Bloomfield, MI

Sources for this page

  • 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.