Individual
DR. BRADLEY LEPORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22101 MOROSS RD, DETROIT, MI 48236-2148
(313) 343-3400
Mailing address
22101 MOROSS RD, DETROIT, MI 48236-2148
(313) 343-3400
(313) 343-4056
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01091090A
IN
207P00000X
Emergency Medicine Physician
4301112028
MI
207P00000X
Emergency Medicine Physician
Primary
4301501681
MI
207P00000X
Emergency Medicine Physician
4351028313
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0035761
—
OH
05
—
300079077
—
IN
Enumeration date
05/12/2017
Last updated
10/01/2025
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