Bloomfield Hills Pediatrics

LBN: Bloomfield Hills Pediatrics
Bloomfield Hills Pediatrics is an health care organization with primary practice located at 43750 Woodward Ave Ste 104, Bloomfield Hills MI 48302-5063. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Bloomfield Hills Pediatrics can be contacted via phone (248) 334-6000, or through Baraceros, Fidelina Nitura via phone (248) 334-6000.

Contact Information

Primary practice address
43750 Woodward Ave Ste 104 Bloomfield Hills MI 48302-5063
Fax: (248) 334-8740
Website:
Authorized official contact:
Name: Baraceros, Fidelina Nitura Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X FB035468 Michigan

Profile Details

NPI number 1346361946
LBN Legal business name Bloomfield Hills Pediatrics
DBA Doing business as
Authorized official Baraceros, Fidelina Nitura Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 2nd, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346361946 NPPES
Other 3506341231 BCBS PROVID ID #
Other 101152 BCBS PROVID ID #
Other FB035468 BCBS PROVID ID #

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