BETHANI E'LEXUS DUNLAP MD
NPI 1811452857
Student in an Organized Health Care Education/Training Program in Detroit, MI

Q: What is Bethani Dunlap's NPI number?

The NPI number for Bethani Dunlap is 1811452857. It was assigned to this individual provider in the NPPES registry on February 4, 2019.

Q: What is Bethani Dunlap's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Bethani Dunlap was last updated on April 15, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 04, 2019PECOS Enrolled

22101 MOROSS RD, DETROIT, MI 48236(313) 343-3400(313) 343-4056 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 15, 2026, Feb 4, 2019 (2 updates tracked since 2019).

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About Bethani E'lexus Dunlap Md NPPES

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

BETHANI E'LEXUS DUNLAP MD (NPI 1811452857) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811452857

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameBETHANI E'LEXUS DUNLAPCredential: MD

Location Address22101 MOROSS RDDetroit, MI 48236-2148

Mailing Address22101 Moross RdDetroit, MI 48236-2148 · (313) 343-3400 · Fax (313) 343-4056

Phone(313) 343-3400

Fax(313) 343-4056

Sole ProprietorNo

Enumeration DateFebruary 4, 2019

Last NPPES UpdateApril 15, 20262 updates tracked since enumeration

NPPES CertifiedApril 15, 2026

✔ NPI 1811452857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

22101 MOROSS RD, Detroit, MI 48236

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bethani E'lexus Dunlap Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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