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BASHIR IMAM MD
NPI 1245843275
Student in an Organized Health Care Education/Training Program in Flint, MI

Active since August 28, 2020PECOS Enrolled

NPPES record last updated: August 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bashir Imam Md NPPES

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

BASHIR IMAM MD (NPI 1245843275) is an individual student in an organized health care education/training program in Flint, Michigan and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245843275
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBASHIR IMAMCredential: MD
Location Address1 HURLEY PLZFlint, MI 48503-5902
Mailing Address1 Hurley PlzFlint, MI 48503-5902 · (181) 026-2900
Phone(181) 026-2900
Sole ProprietorYes
Enumeration DateAugust 28, 2020
NPPES CertifiedAugust 28, 2020
✔ NPI 1245843275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1 HURLEY PLZ, Flint, MI 48503
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Other Names 1

Professional Name (2)Dr. Bashir Imam Md

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bashir Imam Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

DR. RYAN J. REECE M.D.
Emergency Medicine
1 HURLEY PLZ
FLINT, MI 48503
Genesee County (810) 262-9854
LAUREN NEMETZ M.A., CCC-SLP
Speech-Language Pathologist
1 HURLEY PLZ, 6E REHABILITATION- SPEECH THERAPY
FLINT, MI 48503
Genesee County (810) 262-7279
KERRY KATHLEEN DYER
Physical Therapist
1 HURLEY PLZ
FLINT, MI 48503
Genesee County (810) 262-6878
ANGELI V MANTOS
Physical Therapist
1 HURLEY PLZ
FLINT, MI 48503
Genesee County (810) 262-2441
DR. ADENIKE FATIREGUN MD
Student in an Organized Health Care Education/Training Program
1 HURLEY PLZ
FLINT, MI 48503
Genesee County (810) 262-9000
ALEESHA KILBREATH PA-C
Physician Assistant (Surgical)
1 HURLEY PLZ
FLINT, MI 48503
Genesee County (810) 762-7038
GABRIEL MULLINS CRNA
Nurse Anesthetist, Certified Registered
1 HURLEY PLZ
FLINT, MI 48503
Genesee County (517) 740-8810
FRANCIS C WELLS PA-C
Physician Assistant
1 HURLEY PLZ
FLINT, MI 48503
Genesee County (810) 262-9000

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 Bashir Imam's NPI number?

The NPI number for Bashir Imam is 1245843275. It was assigned to this individual provider in the NPPES registry on August 28, 2020. The provider is also known as Dr. Bashir Imam MD.

Where is Bashir Imam located?

Bashir Imam practices at 1 Hurley Plz, Flint, MI 48503. The listed phone number is (181) 026-2900.

What is Bashir Imam's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Bashir Imam enrolled in Medicare?

Yes. Bashir Imam is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bashir Imam was last updated on August 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.