Organization
BLOOMFIELD HILLS PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FIDELINA NITURA BARACEROS MD (OWNER)
(248) 334-6000
Entity
Organization
Contact information
Practice address
43750 WOODWARD AVE, STE 104, BLOOMFIELD HILLS, MI 48302-5063
(248) 334-6000
(248) 334-8740
Mailing address
43750 WOODWARD AVE, STE 104, BLOOMFIELD HILLS, MI 48302-5063
(248) 334-6000
(248) 334-8740
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
FB035468
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101152
MERCY HEALTH PLAN ID
—
01
—
3506341231
BCBS PROVID ID #
—
01
—
FB035468
STATE LICENSURE NUMBER
MI
Enumeration date
04/02/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us