PERRY MLK MEDICAL CENTER P.C.
NPI 1407942394
General Practice in Pontiac, MI
About Perry Mlk Medical Center P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PERRY MLK MEDICAL CENTER P.C. (NPI 1407942394) is a healthcare organization registered as a general practice in Pontiac, Michigan and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through February 3, 2027 and lists Bryan K Swilley, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 6
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Perry Mlk Medical Center P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Perry Mlk Medical Center P.C., which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 23D0956754
Perry Mlk Medical Center, PC · Pontiac, MIFrequently 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 Perry Mlk Medical Center P.C.'s NPI number?
The NPI number for Perry Mlk Medical Center P.C. is 1407942394. It was assigned to this organization in the NPPES registry on October 5, 2006.
Where is Perry Mlk Medical Center P.C. located?
Perry Mlk Medical Center P.C. is located at 673 Martin Luther King Jr Blvd N, Pontiac, MI 48342. The listed phone number is (248) 338-2793.
What is Perry Mlk Medical Center P.C.'s specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Perry Mlk Medical Center P.C. enrolled in Medicare?
Yes. Perry Mlk Medical Center P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Perry Mlk Medical Center P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Perry Mlk Medical Center P.C.. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Perry Mlk Medical Center P.C. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 23D0956754) is associated with this NPI, valid through February 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Perry Mlk Medical Center P.C. accept?
Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Perry Mlk Medical Center P.C. 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 Perry Mlk Medical Center P.C. was last updated on October 26, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Perry Mlk Medical Center P.c. · NPI 1407942394
General Practice organization in Pontiac, Michigan. Organization record, active in the CMS NPPES registry since October 5, 2006.
## Identity
- **NPI:** 1407942394 (Entity type: Organization)
- **Enumerated:** October 5, 2006
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Organization subpart:** No
- **Authorized official:** Bryan Swilley, PRESIDENT
## Practice location
- **Address:** 673 MARTIN LUTHER KING JR BLVD N, Pontiac, MI 48342-1627
- **Phone:** (248) 338-2793
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 26, 2010
- **Other identifiers:** Other 132616 (MI); Other 000000001401 (MI); Medicare ID-Type Unspecified ON50370001 (MI); and 3 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1407942394) · Data from the CMS NPPES public registry.