DR. BEVERLY L BLANEY M.D.
NPI 1205856044
Internal Medicine - Addiction Medicine in Saint Clair Shores, MI

Q: What is Beverly Blaney's NPI number?

The NPI number for Beverly Blaney is 1205856044. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Q: What is Beverly Blaney's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

Q: When was this NPI record last updated?

The NPPES record for Beverly Blaney was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since July 21, 2006

19611 E 8 MILE RD, SAINT CLAIR SHORES, MI 48080(586) 252-2116 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2018, Jul 11, 2017 (2 updates tracked since 2017).

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About Dr. Beverly L Blaney M.d. NPPES

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

DR. BEVERLY L BLANEY M.D. (NPI 1205856044) is an individual addiction medicine provider in Saint Clair Shores, Michigan, licensed in Michigan (4301406704) and active in the NPI registry since July 2006. She maintains a secondary practice location in Detroit.

NPPES Registry Identity

NPI1205856044

Entity TypeIndividualFemale

Primary Taxonomy207RA0401X

Provider Legal NameDR. BEVERLY L BLANEYCredential: M.D.

Location Address19611 E 8 MILE RDSaint Clair Shores, MI 48080-1655

Mailing Address28400 Brooks LnSouthfield, MI 48034-2005

Phone(586) 252-2116

Sole ProprietorNo

Enumeration DateJuly 21, 2006

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1205856044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RA0401X

License✔ Licensed in MI · 4301406704

Definition

An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X · License 4301406704 (MI)

19611 E 8 MILE RD, Saint Clair Shores, MI 48080

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Secondary Practice Location 1

Location 14201 Saint Antoine St, Suite 3RDetroit, MI 48201-2153 · Phone (313) 745-3000

Other Providers at the Same Location NPPES 14

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

HEATHER LYNN MARKS

Peer Specialist