Michael Bruderly (NPI# 1164480141, PAC ID# 8325059496) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1164480141 |
| PAC ID by PECOS | 8325059496 |
| Professional Enrollment ID | I20060606000154 |
| Full Name | Michael Bruderly |
| Organization Legal Name | IHA HEALTH SERVICES CORPORATION |
| Address |
4350 Jackson Rd Ann Arbor MI 48103-1832 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MICHIGAN MEDICAL SCHOOL |
| Graduation Year | 2003 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2466351440 |
| Number of Group Practice Members | 635 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230156 | ST JOSEPH MERCY HOSPITAL |
| 230259 | ST JOSEPH MERCY CHELSEA |
| 230046 | UNIVERSITY OF MICHIGAN HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 3200 W Liberty C, Iha Surgery Consult Ann Arbor, Ann Arbor, MI 48103-9794 | 7347612581 | IHA HEALTH SERVICES CORPORATION |
| 3200 W Liberty Rd, Suite C, Ann Arbor, MI 48103-9794 | 7347612581 | IHA HEALTH SERVICES CORPORATION |
| 4350 Jackson Rd, Ann Arbor, MI 48103-1832 | IHA HEALTH SERVICES CORPORATION | |
| 128 Van Buren St, Chelsea, MI 48118-1623 | 7344758677 | IHA HEALTH SERVICES CORPORATION |
| Organization Legal Name | IHA HEALTH SERVICES CORPORATION |
| Physicians | 657 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vanessa Stebelton | Nurse Practitioner | Iha Health Services Corporation | 212 S Main St A, Iha Primary Care Brooklyn, Brooklyn, MI 49230-9114 |
| David Bavers | Family Medicine | Iha Health Services Corporation | 24 Frank Lloyd Wright Dr Lobby, J2000 Iha Home Health Services, Ann Arbor, MI 48105-9484 |
| Tomas A Murphy | Internal Medicine | Iha Health Services Corporation | 111 N Huron St, 200 Neighborhoos Hlth Ctr, Ypsilanti, MI 48197-2676 |
| Robert Camilletti | Family Medicine | Iha Health Services Corporation | 2305 Genoa Bus Pk Dr, Suite 200, Brighton, MI 48114 |
| Kassandra Maple | Clinical Social Worker | Iha Health Services Corporation | 4936 W Clark Rd 100 Bld D, Ypsilanti, MI 48197-0861 |
| Caitlin C Parker | Obstetrics/gynecology | Iha Health Services Corporation | 4936 W Clark Rd, 100 Iha Associates In Gynecology and Obstetrics, Ypsilanti, MI 48197-0861 |
| Charis M Hill | Family Medicine | Iha Health Services Corporation | 4940 W Clark Rd, 100 Iha Fam Med Arbor Park, Ypsilanti, MI 48197-0860 |
| Emma Pryser | Nurse Practitioner | Iha Health Services Corporation | 2305 Genoa Nusiness Park Dr, 210 Iha Breast Surgery, Brighton, MI 48197-7005 |
| Kacie Hadley | Nurse Practitioner | Iha Health Services Corporation | 4200 Whitetail Dr, 130 Iha Medicine Float Providers, Ann Arbor, MI 48105-9694 |
| Daniel Meram | Hospitalist | Iha Health Services Corporation | 39201 7 Mile Rd, Rm 140 C, Livonia, MI 48152-1079 |
| Street Address |
4350 JACKSON RD |
| City | ANN ARBOR |
| State | MI |
| Zip | 48103-1832 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gretchen E Zajac | Physician Assistant | Iha Health Services Corporation | 4350 Jackson Rd, Ann Arbor, MI 48103-1832 |
| Bailey Tucker | Physician Assistant | Iha Health Services Corporation | 4350 Jackson Rd, Ann Arbor, MI 48103-1832 |
| Claire E Ward | Allergy/immunology | Allergy and Immunology Associates of Ann Arbor, PC | 4350 Jackson Rd, Suite 260, Ann Arbor, MI 48103-1889 |
| Yvonne R Erickson | Physician Assistant | Iha Health Services Corporation | 4350 Jackson Rd, Ann Arbor, MI 48103-1832 |
| Li Li | Internal Medicine | Iha Health Services Corporation | 4350 Jackson Rd, Suite 200, Ann Arbor, MI 48103-1832 |
| Kristine N Saygan | Family Medicine | Iha Health Services Corporation | 4350 Jackson Rd, Ann Arbor, MI 48103-1832 |
| Matthew B Ajluni | Family Medicine | Iha Health Services Corporation | 4350 Jackson Rd, Ann Arbor, MI 48103-1832 |
| Megan H Franzo-romain | Internal Medicine | Iha Health Services Corporation | 4350 Jackson Rd, Suite 200, Ann Arbor, MI 48103-1832 |
| Brian Howard Bluhm | Family Medicine | Iha Health Services Corporation | 4350 Jackson Rd, Ann Arbor, MI 48103-1832 |
| Joshua A Leese | Urology | Iha Health Services Corporation | 4350 Jackson Rd, Ann Arbor, MI 48103-1832 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marjorie E Greene | Clinical Social Worker | 2851 Parkridge Dr, Ann Arbor, MI 48103-1734 | |
| Renee A Kirbs | Physical Therapy | 3921 Jackson Rd, Ann Arbor, MI 48103-1823 | |
| Gregory J Peroff | Chiropractic | 4347 Jackson Rd, Ann Arbor, MI 48103-1831 | |
| Benjamin J Kaplan | Family Medicine | Iha Health Services Corporation | 4350 Jackson Rd, Suite 200, Ann Arbor, MI 48103-1832 |
| Tamara Ostin | Physician Assistant | Iha Health Services Corporation | 4350 Jackson Rd, Ann Arbor, MI 48103-1832 |
| David Scott Walter | Family Medicine | Iha Health Services Corporation | 4350 Jackson Rd, Ann Arbor, MI 48103-1832 |
| Jennifer A Williams | Obstetrics/gynecology | Iha Health Services Corporation | 4350 Jackson Rd, Ann Arbor, MI 48103-1832 |
| Daniel Pettit | Family Medicine | Iha Health Services Corporation | 4350 Jackson Rd, Suite 200, Ann Arbor, MI 48103-1832 |
| Evan Padgitt | Nurse Practitioner | Iha Health Services Corporation | 4350 Jackson Rd, Suite 200, Ann Arbor, MI 48103-1832 |
| Christina L Helms | Internal Medicine | Iha Health Services Corporation | 4350 Jackson Rd, Ann Arbor, MI 48103-1832 |
| Find all physicians in zip 48103 | |||
| City | ANN ARBOR |
| Zip Code | 48103 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ANN ARBOR + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Michael Bruderly.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.