MEDICARE: DR. BRADLEY F ROPP M.D.

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
1	207R00000X	Internal Medicine Physician	4301061764	MI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
8	0M21440019	OTHER	MI	MEDICARE ADVANTAGE
9	110205676	OTHER	MI	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1103305951	OTHER	MI	BCBS/BCN
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	7742125	OTHER	MI	AETNA
5	1002739	OTHER	MI	MCLAREN HEALTH PLAN-COMMERCIAL
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	1002739	OTHER	MI	MCLAREN HEALTH ADVANTAGE
10	200000002630	OTHER	MI	PHP
11	200000002630	OTHER	MI	PHP FAMILYCARE

General Provider Information

NPI Number	:	1326080458
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRADLEY F ROPP M.D.

Provider Business Mailing Address
First Line	:	1540 LAKE LANSING RD
Second Line	:	STE 201
City	:	LANSING
State	:	MI
Zip	:	48912-3707
Country	:	US
Telephone Number	:	517-913-3900
Fax Number	:	517-913-3901

Provider Business Practice Location Address
First Line	:	1540 LAKE LANSING RD
Second Line	:	STE 201
City	:	LANSING
State	:	MI
Zip	:	48912-3707
Country	:	US
Telephone Number	:	517-913-3900
Fax Number	:	517-913-3901

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2006
Last Update Date	:	10/08/2009

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