AMY L BRADDOCK MD
NPI 1578632246
Surgery in Pontiac, MI
About Amy L Braddock Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMY L BRADDOCK MD (NPI 1578632246) is an individual surgery provider in Pontiac, Michigan, licensed in Michigan (4301074104) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with Trinity Health Oakland Hospital, and is a graduate of Wayne State University School Of Medicine (1999).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 5
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Amy L Braddock Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Amy Braddock reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Pontiac, MI 48341
- Reassigned Medicare billing, Michigan enrollment
- 51 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Trinity Health Oakland Hospital
Acute Care Hospitals · Pontiac, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48341 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PONTIAC, MI 48341
PONTIAC, MI 48341
PONTIAC, MI 48341
PONTIAC, MI 48341
PONTIAC, MI 48341
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 Amy Braddock's NPI number?
The NPI number for Amy Braddock is 1578632246. It was assigned to this individual provider in the NPPES registry on November 7, 2006.
Where is Amy Braddock located?
Amy Braddock practices at 44555 Woodward Ave Suite 206, Pontiac, MI 48341. The listed phone number is (248) 338-7171.
What is Amy Braddock's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Amy Braddock enrolled in Medicare?
Yes. Amy Braddock is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Amy Braddock's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amy Braddock reassigns Medicare benefits to Iha Olma Specialty Services LLC (Pontiac, MI). The 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 Amy Braddock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Amy Braddock accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Amy Braddock 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.
Is Amy Braddock affiliated with any hospitals?
According to CMS data, Amy Braddock is affiliated with Trinity Health Oakland Hospital.
When was this NPI record last updated?
The NPPES record for Amy Braddock was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Amy L Braddock, MD · NPI 1578632246
Surgery physician in Pontiac, Michigan. Individual provider, active in the CMS NPPES registry since November 7, 2006.
## Identity
- **NPI:** 1578632246 (Entity type: Individual)
- **Enumerated:** November 7, 2006
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 4301074104 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 44555 WOODWARD AVE, SUITE 206, Pontiac, MI 48341
- **Phone:** (248) 338-7171 · **Fax:** (248) 858-3830
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Iha Olma Specialty Services LLC (NPI 1033899174, Pontiac, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Wayne State University School Of Medicine, class of 1999
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Other 0206348782; Medicare ID-Type Unspecified P17040001; Medicaid 4736387 (MI); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1578632246) · Data from the CMS NPPES public registry.