Provider Type Icon

TERRY SCOTT BAUL M.D. P.C. NPI 1619238490


NPI Information

NPI: 1619238490
Provider Name: TERRY SCOTT BAUL, M.D., P.C.
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
17751 E WARREN AVE
DETROIT, MI
ZIP 48224
Phone: (313) 885-6833
Get Directions

TERRY SCOTT BAUL, M.D., P.C. is a general practice in Detroit, MI. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee TERRY SCOTT BAUL, M.D., P.C. NPI is 1619238490. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

17751 E WARREN AVE
DETROIT, MI
ZIP 48224-329
Phone: (313) 885-6833
Fax: (313) 885-1268

The provider's authorized official is Terry Scott Baul .
The authorized official title is Owner and has the following contact phone number (313) 885-6833.

The enumeration date for this NPI number is 6/7/2012 and was last updated on 6/7/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral Practice4301042171MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10821263MEDICARE PINMICHIGAN
21624055MEDICAIDMICHIGAN
30821263OTHERMICHIGANBCBSM
4B44190MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.