BETHESIDA WHOLESTIC CENTER PLLC
NPI 1598980385
Family Medicine in Southfield, MI

Active since April 16, 2007
21411 CIVIC CENTER DR STE 102, SOUTHFIELD, MI 48076(248) 820-7030(248) 499-1235 Get Directions Write a Review

NPPES record last updated: August 15, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bethesida Wholestic Center Pllc NPPES

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

BETHESIDA WHOLESTIC CENTER PLLC (NPI 1598980385) is a healthcare organization registered as a family medicine in Southfield, Michigan and active in the NPI registry since April 2007. The organization maintains a secondary practice location in Detroit and lists Grace W Patterson, President, Ceo, as its authorized official.

NPPES Registry Identity

NPI1598980385
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBETHESIDA WHOLESTIC CENTER PLLC
Location Address21411 CIVIC CENTER DR STE 102Southfield, MI 48076-3949
Mailing Address275 Applewood LnBloomfield Township, MI 48302-1101 · (248) 820-7030 · Fax (248) 499-1235
Fax(248) 499-1235
Organization SubpartNo
Authorized OfficialGrace W PattersonPresident, Ceo · (248) 820-7030
Enumeration DateApril 16, 2007
Last NPPES UpdateAugust 15, 2019
NPI 1598980385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedPsychologist · FamilyTaxonomy 103TF0000X
Also ListedLicensed Practical NurseTaxonomy 164W00000X
Also ListedHealth EducatorTaxonomy 174H00000X
Also ListedNaturopathTaxonomy 175F00000X
Also ListedHomeopathTaxonomy 175L00000X
Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X
Also ListedFamily Medicine · Sleep MedicineTaxonomy 207QS1201X
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X
Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
Also ListedReligious Nonmedical PractitionerTaxonomy 374K00000X
21411 CIVIC CENTER DR STE 102, Southfield, MI 48076

Secondary Practice Location 1

Location 115615 W McNichols RdDetroit, MI 48235-3541 · Phone (248) 356-1111 · Fax (248) 499-1235

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES

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

Clinic/Center (Multi-Specialty)
21411 CIVIC CENTER DR STE 102
SOUTHFIELD, MI 48076

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 Bethesida Wholestic Center PLLC's NPI number?

The NPI number for Bethesida Wholestic Center PLLC is 1598980385. It was assigned to this organization in the NPPES registry on April 16, 2007.

Where is Bethesida Wholestic Center PLLC located?

Bethesida Wholestic Center PLLC is located at 21411 Civic Center Dr Ste 102, Southfield, MI 48076. The listed phone number is (248) 820-7030.

What is Bethesida Wholestic Center PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

What insurance does Bethesida Wholestic Center PLLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Bethesida Wholestic Center PLLC 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 Bethesida Wholestic Center PLLC was last updated on August 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.