Healthcare Provider Details

I. General information

NPI: 1578503777
Provider Name (Legal Business Name): THOMAS EDWARD BARBIERI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/07/2006
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

468 CADIEUX ROAD
GROSSE POINTE MI
48230
US

IV. Provider business mailing address

26901 BEAUMONT BLVD STE 3D
SOUTHFIELD MI
48033-3849
US

V. Phone/Fax

Practice location:
  • Phone: 313-343-1630
  • Fax: 313-343-1665
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number4301045469
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: