BAKKE MEDICAL PC
NPI 1265576888
Clinic/Center in Dearborn, MI

Active since February 16, 2007
1039 WASHINGTON ST, DEARBORN, MI 48124(313) 563-1033(313) 563-2930 Get Directions Write a Review

NPPES record last updated: February 14, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bakke Medical Pc NPPES

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

BAKKE MEDICAL PC (NPI 1265576888) is a healthcare organization registered as a clinic/center in Dearborn, Michigan and active in the NPI registry since February 2007. The organization lists Daisy S Angeles, President, as its authorized official.

NPPES Registry Identity

NPI1265576888
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameBAKKE MEDICAL PC
Location Address1039 WASHINGTON STDearborn, MI 48124-2016
Mailing Address21723 Garrison StDearborn, MI 48124-2368 · (313) 274-4215
Fax(313) 563-2930
Organization SubpartNo
Authorized OfficialDaisy S AngelesPresident · (313) 563-1033
Enumeration DateFebruary 16, 2007
Last NPPES UpdateFebruary 14, 2019
NPI 1265576888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in MI · 4301037608
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1039 WASHINGTON ST, Dearborn, MI 48124

Other Identifiers 1

Medicaid1361633MI

Other Providers at the Same Location NPPES

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

Internal Medicine
1039 WASHINGTON ST
DEARBORN, MI 48124

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 Bakke Medical PC's NPI number?

The NPI number for Bakke Medical PC is 1265576888. It was assigned to this organization in the NPPES registry on February 16, 2007.

Where is Bakke Medical PC located?

Bakke Medical PC is located at 1039 Washington St, Dearborn, MI 48124. The listed phone number is (313) 563-1033.

What is Bakke Medical PC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Bakke Medical PC was last updated on February 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.