DR. MICHAEL I BRUDERLY (NPI# 1164480141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164480141 |
Entity Type | Individual |
Full Name | DR. MICHAEL I BRUDERLY |
Credential | M.D. |
Practice Address |
4350 Jackson Rd Suite 200 Ann Arbor MI 48103-1889 |
Mailing Address |
24 Frank Lloyd Wright Dr Po Box 0446 Lobby J Ann Arbor MI 48105-9484 |
Practice Telephone | 7347612581 |
Practice Fax Number | 7347619540 |
Mailing Telephone | 7347476766 |
Enumeration Date | 2006-05-01 |
Last Update Date | 2016-12-27 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 4301081599 | MI | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588844179 | Michael P Bruderly | Nurse Anesthetist, Certified Registered | 1000 Dutch Ridge Rd, Beaver, PA 15009-9727 | 2007-11-12 |
Street Address |
4350 JACKSON RD SUITE 200 |
City | ANN ARBOR |
State | MI |
Zip Code | 48103-1889 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548238769 | William Chamness | Pediatrics | 4350 Jackson Rd, Suite 100, Ann Arbor, MI 48103-1889 | 2006-03-14 |
1285998369 | Ramachandra Meera Krishnashastry | Family Medicine | 4350 Jackson Rd, Suite 200, Ann Arbor, MI 48103-1889 | 2012-07-03 |
1831453240 | Lisa Lutchka | Dietitian, Registered | 4350 Jackson Rd, Suite 200, Ann Arbor, MI 48103-1889 | 2012-06-29 |
1033478953 | Ashley Mia Dowgiert | Obstetrics & Gynecology | 4350 Jackson Rd, Suite 300, Ann Arbor, MI 48103-1832 | 2012-05-12 |
1487942322 | Mary Frances Dobbs | Nurse Practitioner | 4350 Jackson Rd, Ste 100, Ann Arbor, MI 48103-1889 | 2011-07-13 |
1336456458 | Vicki Lynn Salisbury | Dietitian, Registered | 4350 Jackson Rd, Suite 200, Ann Arbor, MI 48103-1889 | 2010-09-10 |
1952617706 | Christine Marie Jones | Family Medicine | 4350 Jackson Rd, Suite 200, Ann Arbor, MI 48103-1832 | 2010-08-30 |
1780996199 | Hongyan Yang | Internal Medicine | 4350 Jackson Rd, Suite 200, Ann Arbor, MI 48103-1889 | 2010-07-14 |
1073842654 | Emma Adams | Nurse Practitioner | 4350 Jackson Rd, Suite 100, Ann Arbor, MI 48103-1889 | 2009-12-10 |
1245491521 | Jamie Thompson | Pediatrics | 4350 Jackson Rd, Suite 100, Ann Arbor, MI 48103 | 2008-06-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043839343 | Melissa Sylvia Danan Rilko | Social Worker | 1775 Timber Trail, Ann Arbor, MI 48103 | 2020-04-16 |
1427602929 | Ashwini Gulwadi, Pllc | Psychiatry & Neurology | 2100 S Main Street, Suite A, Unit 4, Ann Arbor, MI 48103 | 2019-08-01 |
1225593155 | Brent Aaron Reeve | Chiropractor | 203 S. Zeeb Rd., Suite 106, Ann Arbor, MI 48103 | 2019-02-05 |
1548746779 | Loren Camano Shkolnik | Registered Nurse | 3200 W Liberty Rd Ste C5, Ann Arbor, MI 48103 | 2018-07-11 |
1982193256 | Jacob B Nienhuis | Psychologist | 4488 Jackson Rd Ste 7b, Ann Arbor, MI 48103 | 2018-05-02 |
1053818633 | Regents of The University of Michigan | Eyewear Supplier (Equipment, not the service) | 380 Parkland Plz Ste 210, Ann Arbor, MI 48103 | 2018-04-10 |
1376052647 | Shivika Verma | Dentist | 3071 Signature Blvd, Apartment #f, Ann Arbor, MI 48103 | 2017-09-29 |
1881118206 | Harrison Udensi Igwe | Clinic/Center | 522 South Maple Stree, Ann Arbor, MI 48103 | 2017-07-27 |
1841727641 | Kathleen Murphy | Psychologist | 4141 Woodland Drive, Ann Arbor, MI 48103 | 2017-05-11 |
1972037133 | Jonathan Broek | Dietitian, Registered | 2920 Lakeview Dr, Ann Arbor, MI 48103 | 2017-04-14 |
Find all providers in zip 48103 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164950481 | Ryan Kenneth Smith | Family Medicine | 4350 Jackson Rd Ste 230, Ann Arbor, MI 48103-1890 | 2017-05-31 |
1730620386 | Rachel Denny | Family Medicine | 4260 Plymouth Rd # B1-313, Ann Arbor, MI 48109-2700 | 2017-03-15 |
1730546722 | Scott Waclawik | Family Medicine | 24 Frank Lloyd Wright Dr Ste L2300, Ann Arbor, MI 48105-9484 | 2016-01-21 |
1477940294 | Advance Primary Care | Family Medicine | 1000 E Stadium Blvd Ste E, Ann Arbor, MI 48104-4616 | 2015-04-20 |
1598179822 | Kristina L Bahrou | Family Medicine | 3830 Packard St Ste 230, Ann Arbor, MI 48108-2273 | 2014-06-14 |
1164862249 | Gregory David Shumer | Family Medicine | 24 Frank Lloyd Wright Dr Lbby H, Ann Arbor, MI 48105-9484 | 2013-07-03 |
1629321096 | Rachel Leah Sabb | Family Medicine | 1000 Markbarry Dr, Ann Arbor, MI 48105-2869 | 2012-10-22 |
1336401124 | Sukhpreet Kaur Singh | Family Medicine | 2755 Carpenter Rd Ste 1s, Ann Arbor, MI 48108-1171 | 2012-06-08 |
1194002824 | Superior Physician Services Pllc | Family Medicine | 315 E Eisenhower Pkwy Ste 7, Ann Arbor, MI 48108-3329 | 2011-11-09 |
1629380530 | Lindsey V. Kotagal | Family Medicine | 501 N Maple Rd, Ann Arbor, MI 48103-2827 | 2010-07-08 |
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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.