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

Q: 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.

Q: What is Bethesida Wholestic Center PLLC's specialty?

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

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: October 25, 2026.

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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

Phone(248) 820-7030

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

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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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.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)

Bethesida Wholestic Center Pllc 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 Bethesida Wholestic Center PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Grace Patterson, MD

Family Practice

NPI 1093811200

9150 LINWOOD AVE
Detroit, MI 48206

(313) 895-6605

✔ PECOS✔ Accepts Medicare10 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is Bethesida Wholestic Center PLLC enrolled in Medicare?

Yes. Bethesida Wholestic Center PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bethesida Wholestic Center PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Bethesida Wholestic Center PLLC. 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.

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 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.