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DR. TIMOTHY PETER BOUFFORD M.D.
NPI 1811991177
Internal Medicine in Clinton Twp, MI

Active since June 02, 2005
15855 19 MILE RD, HENRY FORD MACOMB, CLINTON TWP, MI 48038(734) 464-0887(734) 402-0254 Get Directions Write a Review

NPPES record last updated: August 8, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Timothy Peter Boufford M.d. NPPES

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

DR. TIMOTHY PETER BOUFFORD M.D. (NPI 1811991177) is an individual internal medicine provider in Clinton Twp, Michigan, licensed in Michigan (4301062476) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1811991177
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. TIMOTHY PETER BOUFFORDCredential: M.D.
Location Address15855 19 MILE RD, HENRY FORD MACOMBClinton Twp, MI 48038-3504
Mailing Address36115 Schoolcraft RdLivonia, MI 48150-1216 · (734) 464-0887 · Fax (734) 402-0254
Phone(734) 464-0887
Fax(734) 402-0254
Sole ProprietorNo
Enumeration DateJune 2, 2005
Last NPPES UpdateAugust 8, 2014
✔ NPI 1811991177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · 4301062476
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 4301062476 (MI)
15855 19 MILE RD, Clinton Twp, MI 48038
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Other Identifiers 6

Medicare PINP28070021MI
Other1811991177MI · Npi #
Medicare UPINB12491
Other70-0-F32947-0MI · Bcbs Cpin #
OtherTB062476MI · Bcbsm
Medicaid4846333MI

Other Providers at the Same Location NPPES 20

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

MS. LEEANN WICKENS P.A.
Physician Assistant
15855 19 MILE RD
CLINTON TWP, MI 48038
Macomb County (586) 203-1940
CYNTHIA GEE D.O.
Emergency Medicine
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Macomb County (701) 340-2053
SARAH E NELSON
Nurse Practitioner (Adult Health)
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Macomb County (313) 623-7602
MS. KARA NICOLE SZCZOMAK PA-C
Physician Assistant
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Macomb County (586) 263-2601
EMILY SOPEL
Occupational Therapist
15855 19 MILE RD
CLINTON TWP, MI 48038
Macomb County (586) 263-2300
ANTONIO MACERI MD
Student in an Organized Health Care Education/Training Program
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Macomb County (586) 263-2300
HENRY FORD MACOMB HOSPITAL CORPORATION
General Acute Care Hospital
15855 19 MILE RD
CLINTON TWP, MI 48038
Macomb County (568) 263-2705
JEFFREY A BERG CRNA
Nurse Anesthetist, Certified Registered
15855 19 MILE RD
CLINTON TWP, MI 48038
Macomb County (586) 263-2370

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 Timothy Boufford's NPI number?

The NPI number for Timothy Boufford is 1811991177. It was assigned to this individual provider in the NPPES registry on June 2, 2005.

Where is Timothy Boufford located?

Timothy Boufford practices at 15855 19 Mile Rd Henry Ford Macomb, Clinton Twp, MI 48038. The listed phone number is (734) 464-0887.

What is Timothy Boufford's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Timothy Boufford was last updated on August 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.