# BEP MEDICAL GROUP PLLC

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

## Provider details

- **NPI number:** 1508782947
- **Authorized official:** DR. MARCIA BOCKBRADER MD PHD (OWNER)
- **Authorized official phone:** (614) 286-0305

## Contact information

- **Practice address:** 3045 BAKER RD STE K, DEXTER, MI 48130-1163
- **Practice address phone:** (734) 215-5768
- **Practice address fax:** (614) 482-4938
- **Mailing address:** 2749 TRAILWOOD LN, ANN ARBOR, MI 48105-9743
- **Mailing address phone:** (734) 210-1627
- **Mailing address fax:** (614) 482-4938

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 2081P0301X | Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081P0301X | Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |
| 2083A0300X | Addiction Medicine (Preventive Medicine) Physician | — | NULL | — |
| 2083A0300X | Addiction Medicine (Preventive Medicine) Physician | — | — | — |

## Other

- **Enumeration date:** 06/29/2026
- **Last updated:** 06/29/2026