| Brandon Bulmer, | |
|
25195 Kelly Rd Ste B, Roseville, MI 48066-5084 | |
| (586) 779-2579 | |
| Not Available |
| Full Name | Brandon Bulmer |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Acute Care |
| Location | 25195 Kelly Rd Ste B, Roseville, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659143907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 4704311439 (Michigan) | Primary |
| Entity Name | Ascension St John Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043478910 PECOS PAC ID: 3173424082 Enrollment ID: O20040115000409 |
| Entity Name | Beaumont Medical Group- Specialty Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578072906 PECOS PAC ID: 7214299866 Enrollment ID: O20180320002549 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Bulmer, 26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849 Ph: () - | Brandon Bulmer, 25195 Kelly Rd Ste B, Roseville, MI 48066-5084 Ph: (586) 779-2579 |
Ms. Rana Issa, DNP, RN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25710 Kelly Rd Ste 1, Roseville, MI 48066 Phone: 586-772-2600 | |
Mrs. Christie Ann Schunemann, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 30550 Utica Rd, Roseville, MI 48066 Phone: 734-464-0887 Fax: 734-402-0254 | |
Mrs. Beverly Ann Towner, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 25779 Kelly Rd, Suite C, Roseville, MI 48066 Phone: 586-774-0700 Fax: 586-774-9841 | |
Linda Ann Mannino, APRN BC MSN CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25195 Kelly Rd, Suite A, Roseville, MI 48066 Phone: 586-775-4594 Fax: 586-775-4506 | |
Mrs. Judith Ann Ogren, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 25810 Kelly Rd, Ste 3, Roseville, MI 48066 Phone: 586-777-9724 | |
Jagruti Patel, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25710 Kelly Rd, Suite 3, Roseville, MI 48066 Phone: 586-772-2600 Fax: 586-772-5289 | |
Mr. Aaron N Achatz, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25710 Kelly Rd Ste 1, Roseville, MI 48066 Phone: 734-218-4232 |