SPINE SPECIALIST OF MICHIGAN PC
NPI 1760687487
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Bingham Farms, MI

Q: What is Spine Specialist Of Michigan PC's NPI number?

The NPI number for Spine Specialist Of Michigan PC is 1760687487. It was assigned to this organization in the NPPES registry on June 21, 2007.

Q: What is Spine Specialist Of Michigan PC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Active since June 21, 2007CLIA 23D2064195 · Waiver

32270 TELEGRAPH RD, BINGHAM FARMS, MI 48025(248) 792-9496(248) 792-9628 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Spine Specialist Of Michigan Pc NPPES

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

SPINE SPECIALIST OF MICHIGAN PC (NPI 1760687487) is a healthcare organization registered as an orthopaedic surgery of the spine in Bingham Farms, Michigan and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through August 14, 2027, maintains a secondary practice location in West Bloomfield, and lists Louis N Radden, President, as its authorized official.

NPPES Registry Identity

NPI1760687487

Entity TypeOrganization

Primary Taxonomy207XS0117X

Legal Business NameSPINE SPECIALIST OF MICHIGAN PC

Location Address32270 TELEGRAPH RDBingham Farms, MI 48025-2456

Mailing Address32406 Franklin Rd Unit 250493Franklin, MI 48025-7016 · (248) 497-9477 · Fax (248) 865-4231

Phone(248) 792-9496

Fax(248) 792-9628

Organization SubpartNo

Authorized OfficialLouis N RaddenPresident · (248) 497-9477

Enumeration DateJune 21, 2007

Last NPPES UpdateMarch 28, 2023

NPPES CertifiedMarch 28, 2023

✔ NPI 1760687487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians

Taxonomy Code207XS0117X

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

32270 TELEGRAPH RD, Bingham Farms, MI 48025

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Secondary Practice Location 1

Location 16621 W Maple RdWest Bloomfield, MI 48322-4928 · Phone (248) 661-4700 · Fax (248) 661-6210

Other Identifiers 1

OtherDF7468Medicare Railroad

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Spine Specialist Of Michigan Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 4 clinicians reassign Medicare billing to Spine Specialist Of Michigan PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Louis Radden, DO

Orthopedic Surgery

NPI 1184675886

32270 TELEGRAPH RD SUITE 110
Bingham Farms, MI 48025

(248) 792-9496

✔ PECOS✔ Accepts MedicareSame address

Jennifer Gamble, NP-C

Nurse Practitioner

NPI 1932599073

6777 W MAPLE RD
West Bloomfield, MI 48322

(248) 325-0636

✔ PECOS✔ Accepts Medicare6.3 mi

Gary Gilyard, MD

Orthopedic Surgery

NPI 1710967815

28800 RYAN RD SUITE 280
Warren, MI 48092

(586) 575-9444

✔ PECOS11 mi

Jason Bitkowski, D.O.

General Surgery

NPI 1356555718

7823 SPIVEY STATION BLVD SUITE 200
Jonesboro, GA 30236

(770) 507-5055

✔ PECOS✔ Accepts Medicare622 mi

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 23D2064195

Spine Specialists Of Michigan · Bingham Farms, MI

Active · expires Aug 14, 2027

CLIA Number23D2064195

Laboratory TypePhysician Office

Certificate Effective DateAugust 15, 2025

Certificate Expiration DateAugust 14, 2027

Laboratory DirectorLouis N. Radden

Laboratory Phone(248) 792-9496

Laboratory LocationSpine Specialists Of Michigan32270 Telegraph Road Suite 110, Bingham Farms, MI 48025

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Spine Specialist Of Michigan PC's NPI number?

The NPI number for Spine Specialist Of Michigan PC is 1760687487. It was assigned to this organization in the NPPES registry on June 21, 2007.

Where is Spine Specialist Of Michigan PC located?

Spine Specialist Of Michigan PC is located at 32270 Telegraph Rd, Bingham Farms, MI 48025. The listed phone number is (248) 792-9496.

What is Spine Specialist Of Michigan PC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Spine Specialist Of Michigan PC enrolled in Medicare?

Yes. Spine Specialist Of Michigan PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Spine Specialist Of Michigan PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Spine Specialist Of Michigan PC, in General Surgery, Nurse Practitioner and Orthopedic Surgery. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Spine Specialist Of Michigan PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2064195) is associated with this NPI, valid through August 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Spine Specialist Of Michigan PC was last updated on March 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.