DR. REGINALD J EADIE M.D. NPI 1902866734

NPI Information

NPI: 1902866734
Provider Name: DR. REGINALD J EADIE, M.D.
Classification: Emergency Medicine - 207PE0004X
Entity Type: Individual

Specialization: Emergency Medical Services

Address:
6071 W OUTER DR
DETROIT, MI
ZIP 48235
Phone: (313) 745-2780
Get Directions

DR. Reginald J Eadie, M.D. is an emergency medical services emergency medicine in Detroit, MI. The provider is an emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. DR. Reginald J Eadie, M.D. NPI is 1902866734. 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:

6071 W OUTER DR
DETROIT, MI
ZIP 48235-624
Phone: (313) 745-2780
Fax: (313) 745-1520

The enumeration date for this NPI number is 3/24/2006 and was last updated on 2/18/2009.

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
1	208D00000X	General Practice		4301065909	MICHIGAN	No
2	207PE0004X	Emergency Medicine	Emergency Medical Services	4301065909	MICHIGAN	Yes

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
1	RE065909	OTHER	MICHIGAN	BC/BS OF MI
2	H26348279	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN
3	P35120097	MEDICARE PIN	MICHIGAN
4	G92355	MEDICARE UPIN	MICHIGAN
5	104184200	MEDICAID	MICHIGAN
6	104205660	MEDICAID	MICHIGAN

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: 11/14/2023

NPI Synchronization or Removal

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