BRUCE A. CASSIDY, D.O., PC
NPI 1053409268
Internal Medicine in Farmington Hills, MI

Active since October 11, 2006
28080 GRAND RIVER AVE STE 208N, FARMINGTON HILLS, MI 48336(248) 308-2604(248) 308-2608 Get Directions Write a Review

NPPES record last updated: September 19, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 19, 2022, Jan 11, 2018 (2 updates tracked since 2018).

About Bruce A. Cassidy, D.o., Pc NPPES

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

BRUCE A. CASSIDY, D.O., PC (NPI 1053409268) is a healthcare organization registered as an internal medicine in Farmington Hills, Michigan and active in the NPI registry since October 2006. The organization lists Michelle Mcgee, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1053409268
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBRUCE A. CASSIDY, D.O., PC
Location Address28080 GRAND RIVER AVE STE 208NFarmington Hills, MI 48336-5966
Mailing AddressPo Box 673102Detroit, MI 48267-3102 · (248) 308-2604 · Fax (248) 308-2608
Fax(248) 308-2608
Organization SubpartNo
Authorized OfficialMichelle McgeeOffice Manager · (248) 308-2604
Enumeration DateOctober 11, 2006
Last NPPES UpdateSeptember 19, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2022
✔ NPI 1053409268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · BC013348
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
28080 GRAND RIVER AVE STE 208N, Farmington Hills, MI 48336

Other Identifiers 4

Other1156307745MI · Bcbs
Medicaid114334390MI
Other1770568198MI · Individual Npi
OtherBC013348MI · Mi State License

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bruce A. Cassidy, D.o., Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20040612000597Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Bruce A. Cassidy, D.O., PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Nurse Practitioner
NPI 1285378422
28080 GRAND RIVER AVE STE 208N
Farmington Hills, MI 48336
(248) 308-2604
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1770568198
28080 GRAND RIVER AVE STE 208N
Farmington Hills, MI 48336
(248) 308-2604
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1114420528
2635 COOLIDGE HWY
Berkley, MI 48072
(248) 541-2512
✔ PECOS✔ Accepts Medicare7.9 mi
Nurse Practitioner
NPI 1447786207
5758 COOLEY LAKE RD
Waterford, MI 48327
(855) 466-3631
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1316660145
2176 FORT ST
Lincoln Park, MI 48146
(313) 768-5096
✔ PECOS✔ Accepts Medicare16 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Bruce A. Cassidy, D.O., PC's NPI number?

The NPI number for Bruce A. Cassidy, D.O., PC is 1053409268. It was assigned to this organization in the NPPES registry on October 11, 2006.

Where is Bruce A. Cassidy, D.O., PC located?

Bruce A. Cassidy, D.O., PC is located at 28080 Grand River Ave Ste 208N, Farmington Hills, MI 48336. The listed phone number is (248) 308-2604.

What is Bruce A. Cassidy, D.O., PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Bruce A. Cassidy, D.O., PC enrolled in Medicare?

Yes. Bruce A. Cassidy, D.O., PC is registered in the Medicare PECOS enrollment system.

When is Bruce A. Cassidy, D.O., PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Bruce A. Cassidy, D.O., PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Bruce A. Cassidy, D.O., PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (4) and Family Practice (1). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Bruce A. Cassidy, D.O., PC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Bruce A. Cassidy, D.O., PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bruce A. Cassidy, D.O., PC was last updated on September 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.