# THOMAS J W BERING, MD, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306858980
- **Authorized official:** DR. THOMAS BERING MD (PRESIDENT)
- **Authorized official phone:** (586) 795-1390

## Contact information

- **Practice address:** 2311 15 MILE RD, SUITE A, STERLING HEIGHTS, MI 48310-4812
- **Practice address phone:** (586) 795-1390
- **Practice address fax:** (586) 795-1395
- **Mailing address:** 2311 15 MILE RD, SUITE A, STERLING HEIGHTS, MI 48310-4812
- **Mailing address phone:** (586) 795-1390
- **Mailing address fax:** (586) 795-1395

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RA0000X | Adolescent Medicine (Internal Medicine) Physician | TB057582 | MI | Yes |

## Other

- **Enumeration date:** 08/12/2006
- **Last updated:** 03/08/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3517180 | — | MI |