Organization
MICHIGAN PHYSICAL MEDICINE AND REHABILITATION, P.C.
Active
Organization
MICHIGAN PHYSICAL MEDICINE AND REHABILITATION, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE L BRADLEY D.O. (PRESIDENT)
(586) 468-3900
Entity
Organization
Contact information
Practice address
20950 HARRINGTON ST, CLINTON TOWNSHIP, MI 48036-1923
(586) 468-3900
(586) 468-9811
Mailing address
20950 HARRINGTON ST, CLINTON TWP, MI 48036-1923
(586) 468-3900
(586) 468-9811
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
5101012404
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
250E020580
BCBS PIN
MI
05
—
495487811
—
MI
Enumeration date
07/31/2006
Last updated
07/14/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up