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NPI Code Detail

MEDICARE: DR. BRADFORD J MERRELLI MD

MEDICARE:  DR. BRADFORD J MERRELLI  MD
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
1207Q00000XFamily Medicine Physician4301048826MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
20631383OTHERMIBCBS

General Provider Information

NPI Number : 1184699142
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRADFORD J MERRELLI MD
Provider Business Mailing Address
First Line : 595 BARCLAY CIR STE D
Second Line :
City : ROCHESTER HILLS
State : MI
Zip : 48307-5802
Country : US
Telephone Number : 248-852-5355
Fax Number : 248-852-8411
Provider Business Practice Location Address
First Line : 595 BARCLAY CIR STE D
Second Line :
City : ROCHESTER HILLS
State : MI
Zip : 48307-5802
Country : US
Telephone Number : 248-852-5355
Fax Number : 248-852-8411
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2006
Last Update Date : 03/10/2026

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Directions to “ DR. BRADFORD J MERRELLI MD” Practice Location

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