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JERRY W DRAKE M.D.
NPI 1023055969
Radiology - Diagnostic Radiology in Dearborn, MI

Active since May 31, 2006
840 OAKWOOD BLVD, DEARBORN, MI 48124(313) 359-7650(313) 359-7660 Get Directions Write a Review

NPPES record last updated: August 9, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jerry W Drake M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERRY W DRAKE M.D. (NPI 1023055969) is an individual diagnostic radiology provider in Dearborn, Michigan, licensed in Michigan (4301045887) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1023055969
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameJERRY W DRAKECredential: M.D.
Location Address840 OAKWOOD BLVDDearborn, MI 48124-2319
Mailing AddressPo Box 2802Dearborn, MI 48123-2929 · (313) 359-7650 · Fax (313) 359-7660
Phone(313) 359-7650
Fax(313) 359-7660
Sole ProprietorNo
Enumeration DateMay 31, 2006
Last NPPES UpdateAugust 9, 2007
✔ NPI 1023055969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in MI · 4301045887
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

840 OAKWOOD BLVD, Dearborn, MI 48124
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Other Identifiers 4

Medicare PINH26272011MI
Medicaid1545891MI
Medicare PINH26274011MI
Medicare UPINA78477

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REZA ABGHARI M.D.
Radiology (Diagnostic Radiology)
840 OAKWOOD BLVD
DEARBORN, MI 48124
Wayne County (313) 359-7650
FRANKJU A AREVALO M.D.
Radiology (Diagnostic Radiology)
840 OAKWOOD BLVD
DEARBORN, MI 48124
Wayne County (313) 359-7650
CHRISTIAN L BARTOI M.D.
Radiology (Diagnostic Radiology)
840 OAKWOOD BLVD
DEARBORN, MI 48124
Wayne County (313) 359-7650
VITO A CASANO M.D.
Radiology (Diagnostic Radiology)
840 OAKWOOD BLVD
DEARBORN, MI 48124
Wayne County (313) 359-7650
VLADISLAV JANKULOV M.D.
Radiology (Diagnostic Radiology)
840 OAKWOOD BLVD
DEARBORN, MI 48124
Wayne County (313) 359-7650
COSTA BUTERAKOS M.D.
Radiology (Diagnostic Radiology)
840 OAKWOOD BLVD
DEARBORN, MI 48124
Wayne County (313) 359-7650
JOHN H FINGER M.D.
Radiology (Diagnostic Radiology)
840 OAKWOOD BLVD
DEARBORN, MI 48124
Wayne County (313) 359-7650
KENNETH P BARTOLD M.D.
Radiology (Diagnostic Radiology)
840 OAKWOOD BLVD
DEARBORN, MI 48124
Wayne County (313) 359-7650

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Drake's NPI number?

The NPI number for Jerry Drake is 1023055969. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Where is Jerry Drake located?

Jerry Drake practices at 840 Oakwood Blvd, Dearborn, MI 48124. The listed phone number is (313) 359-7650.

What is Jerry Drake's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Jerry Drake was last updated on August 9, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.