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NPI Code Detail

MEDICARE: BRIDGEPOINT MEDICAL PLLC

MEDICARE: BRIDGEPOINT MEDICAL PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1124996699
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRIDGEPOINT MEDICAL PLLC
Provider Business Mailing Address
First Line : 6200 CHASE RD
Second Line :
City : DEARBORN
State : MI
Zip : 48126-2108
Country : US
Telephone Number : 248-470-2299
Fax Number :
Provider Business Practice Location Address
First Line : 6200 CHASE RD
Second Line :
City : DEARBORN
State : MI
Zip : 48126-2108
Country : US
Telephone Number : 248-470-2299
Fax Number :
Authorized Official
Title or Position : PHYSICIAN-OWNER
Name : DR. BASSAM BATARSE
Credential : MD
Telephone Number : 248-470-2299
Provider Enumeration Date : 10/27/2025
Last Update Date : 12/15/2025

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