BERNARD J TABOR


Address: 14319 Dix-toledo Rd, Southgate, MI 48195
Phone: 7342850677

BERNARD J TABOR (NPI# 1164462347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164462347
Entity Type Individual
Full Name BERNARD J TABOR
Credential DO
Practice Address 14319 Dix-toledo Rd
Southgate
MI 48195
Practice Telephone 7342850677
Practice Fax Number 7342853574
Mailing Telephone 7342850677
Mailing Fax Number 7342853574
Enumeration Date 2006-06-07
Last Update Date 2014-02-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 5101005675 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CARE CHOICES 107351 01
BCBSM 5822093 01
HEALTH ALLIANCE PLAN E25576 01
MI 111163145 05
M-CARE C3316 01
MEDICARE RAILROAD 120001762 01

Office Location

Street Address 14319 DIX-TOLEDO RD
City SOUTHGATE
State MI
Zip Code 48195

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629017207 John E Blanzy Family Medicine 14319 Dix-toledo Rd, Southgate, MI 48195 2006-06-06
1134169444 Aaron J Blanzy Family Medicine 14319 Dix-toledo Rd, Southgate, MI 48195 2006-06-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780206656 Destiny D Harris Social Worker 14799, Southgate, MI 48195 2020-05-13
1285102368 Svs Vision Inc Eyewear Supplier (Equipment, not the service) 16256 Fort St, Southgate, MI 48195 2018-11-07
1003382979 Saran Charisse Watts Case Manager/Care Coordinator 31101 Allen Rd, Building 5, Southgate, MI 48195 2018-10-18
1255824025 Kiesta Janell Lindsey Social Worker 13101 Allen Rd Bldg 4-f, Southgate, MI 48195 2018-06-07
1417473224 Suzette Michele Watson Nurse Practitioner 14319 Dix-toledo, Southgate, MI 48195 2017-08-15
1275069486 Liza Du Plessis Student in an Organized Health Care Education/Training Program 13111 Allen Road, Southgate, MI 48195 2017-05-08
1497290456 Beaumont Health Clinic/Center 15777 Northline, Southgate, MI 48195 2016-12-30
1184172876 Felicia Wilson Licensed Practical Nurse 15771 Wildemere, Southgate, MI 48195 2016-09-12
1225487978 Stacey Petrick-strickland Technician, Other 12189 Agnes, Southgate, MI 48195 2016-06-03
1205298486 Ashley Francis Hearing Instrument Specialist 18800 Eureka Rd., Southgate, MICHIGAN 48195 2016-03-25
Find all providers in zip 48195

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023272994 Manish Bolina Family Medicine 15777 Northline Rd Ste 101, Southgate, MI 48195-2300 2008-07-10
1942351820 Sita Ram Kaura Family Medicine 14797 Dix Toledo Rd, Southgate, MI 48195-2507 2007-01-16
1679645972 Edward Nazareno Family Medicine 13650 Fort St, Southgate, MI 48195-1152 2006-11-14
1629017207 John E Blanzy Family Medicine 14319 Dix-toledo Rd, Southgate, MI 48195 2006-06-06
1649243676 Joel A. Perlson Family Medicine 15777 Northline Rd Ste 200, Southgate, MI 48195-2354 2006-02-09
1326021262 Thomas M Pinson Family Medicine 13636 Dix Toledo Rd, Southgate, MI 48195-2432 2005-11-23
1770585580 Michael Lawrence Gambel Family Medicine 12100 Dix Toledo Rd, Southgate, MI 48195-3531 2005-08-11
1376542035 Farah Iftikhar Family Medicine 15777 Northline Rd, Southgate, MI 48195-2385 2005-07-15
1295356772 Priority 1 Health Pllc Family Medicine 15450 Northline Rd, Southgate, MI 48195-2398 2020-05-06
1992156418 Raathathulaksi Krishnamohan Family Medicine 13667 Eureka Rd, Southgate, MI 48195-1332 2016-06-27
Find all providers in SOUTHGATE

Competitor

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City SOUTHGATE
Zip Code 48195

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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