MARC P BOCKNEK D.O. NPI 1538149679

NPI Information

  • NPI: 1538149679
  • Provider Name: MARC P BOCKNEK, D.O.
  • Classification: Pediatrics - 2080A0000X
  • Specialization: Adolescent Medicine
  • Entity Type: Individual
  • Address: 2632 S MILFORD RD
    HIGHLAND, MI
    ZIP 48357
  • Phone: (248) 684-5510

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NPI Details

Marc P Bocknek, D.O. is an adolescent medicine pediatrics in Highland, MI. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. Marc P Bocknek, D.O. NPI is 1538149679. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2632 S MILFORD RD
HIGHLAND, MI
ZIP 48357-938
Phone: (248) 684-5510
Fax: (248) 684-5220

The enumeration date for this NPI number is 1/17/2006 and was last updated on 7/8/2007.

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
12080A0000XPediatricsAdolescent MedicineMB006783MICHIGANYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11518141MEDICAIDMICHIGAN
2F00597MEDICARE 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: 11/21/2025

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