BURTON ELLIS
NPI 1689633067
Radiology - Diagnostic Radiology in West Bloomfield, MI

Q: What is Burton Ellis's NPI number?

The NPI number for Burton Ellis is 1689633067. It was assigned to this individual provider in the NPPES registry on March 22, 2006.

Q: What is Burton Ellis's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Burton Ellis was last updated on July 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 22, 2006

6825 HEIRLOOM CIR, WEST BLOOMFIELD, MI 48322(248) 497-1234 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 17, 2024, Oct 5, 2022 (2 updates tracked since 2022).

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About Burton Ellis NPPES

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

BURTON ELLIS (NPI 1689633067) is an individual diagnostic radiology provider in West Bloomfield, Michigan, licensed in Michigan (4301030106) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1689633067

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameBURTON ELLIS

Location Address6825 HEIRLOOM CIRWest Bloomfield, MI 48322-4805

Mailing Address6825 Heirloom CirWest Bloomfield, MI 48322-4805 · (248) 497-1234

Phone(248) 497-1234

Sole ProprietorNo

Enumeration DateMarch 22, 2006

Last NPPES UpdateJuly 17, 20242 updates tracked since enumeration

NPPES CertifiedJuly 17, 2024

✔ NPI 1689633067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in MI · 4301030106

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

6825 HEIRLOOM CIR, West Bloomfield, MI 48322

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Other Identifiers 2

Other300F362420MI · Bcbsm

Medicaid2849514MI

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 Burton Ellis's NPI number?

The NPI number for Burton Ellis is 1689633067. It was assigned to this individual provider in the NPPES registry on March 22, 2006.

Where is Burton Ellis located?

Burton Ellis practices at 6825 Heirloom Cir, West Bloomfield, MI 48322. The listed phone number is (248) 497-1234.

What is Burton Ellis's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Burton Ellis was last updated on July 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.