BARAK TANZMAN D.O. NPI 1457539116

NPI Information

  • NPI: 1457539116
  • Provider Name: BARAK TANZMAN, D.O.
  • Classification: Surgery - 2086S0122X
  • Specialization: Plastic and Reconstructive Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 27901 WOODWARD AVE
    SUITE 100
    BERKLEY, MI
    ZIP 48072
  • Phone: (248) 799-2880

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NPI Details

Barak Tanzman, D.O. is a plastic and reconstructive surgery surgery in Berkley, MI with 23 years of experience. The provider is a surgeon who specializes in plastic and reconstructive surgery. Barak Tanzman, D.O. NPI is 1457539116. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: OHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:2003

The provider's business location address is:

27901 WOODWARD AVE
SUITE 100
BERKLEY, MI
ZIP 48072-919
Phone: (248) 799-2880
Fax: (248) 414-3959

The NPI 1457539116 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Mastectomy (HCPCS:NAN04)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 2/5/2008 and was last updated on 12/20/2010.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0122XSurgeryPlastic and Reconstructive Surgery5011017709MICHIGANYes

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: 11/21/2025

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