LEGACY MEDICAL GROUP
NPI 1902023641
Internal Medicine in Rochester Hills, MI
NPI Status: Active since April 20, 2007
Contact Information
1460 WALTON BLVD
SUITE 200
ROCHESTER HILLS, MI
ZIP 48309
Phone: (248) 650-1800
Fax: (248) 650-1856
- Organization
- Internal Medicine
- Accepts Insurance
About LEGACY MEDICAL GROUP
This page provides the complete NPI Profile along with additional information for Legacy Medical Group, an internist established in Rochester Hills, Michigan operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1902023641 assigned on April 2007. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Legacy Medical Group operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Legacy Medical Group. The authorized official of this NPI record is Dr. Brian T Gietzen M.d. (Owner Medical Director)
- NPI
- 1902023641
- Provider Legal Name
- BRIAN T. GIETZEN, M. D., P. C.
- Other Organization Name
- LEGACY MEDICAL GROUP
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1460 WALTON BLVD SUITE 200 ROCHESTER HILLS, MI 48309
- Location Phone
- (248) 650-1800
- Location Fax
- (248) 650-1856
- Mailing Address
- 1460 WALTON BLVD SUITE 200 ROCHESTER HILLS, MI 48309
- Mailing Phone
- (248) 650-1800
- Mailing Fax
- (248) 650-1856
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-20-2007
- Last Update Date
- 10-15-2020
- Code Navigator
An internist like Legacy Medical Group is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | 4301070159 (MI) |
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Blue Cross� Premier PPO Bronze Extra - PPO
- Blue Cross� Premier PPO Bronze HSA - PPO
- Blue Cross� Premier PPO Bronze Secure - PPO
- Blue Cross� Premier PPO Gold - PPO
- Blue Cross� Premier PPO Gold Extra - PPO
- Blue Cross� Premier PPO Silver - PPO
- Blue Cross� Premier PPO Silver Extra - PPO
- Blue Cross� Premier PPO Silver Saver HSA - PPO
- Blue Cross� Premier PPO Value - PPO
- Bronze First - HMO
- Bronze First Adult Vision & Fitness - HMO
- Diabetes Gold - HMO
- Diabetes Gold Adult Vision & Fitness - HMO
- Diabetes Silver - HMO
- Diabetes Silver Adult Vision & Fitness - HMO
- Gold - HMO
- Gold Adult Vision & Fitness - HMO
- HDHP Preventive Silver - HMO
- Healthy Heart Gold - HMO
- Healthy Heart Gold Adult Vision & Fitness - HMO
- Healthy Heart Silver - HMO
- Healthy Heart Silver Adult Vision & Fitness - HMO
- Low Premium Silver - HMO
- Low Premium Silver Adult Vision & Fitness - HMO
- Silver - HMO
- Silver Adult Vision & Fitness - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Reviews for LEGACY MEDICAL GROUP
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 9 | 0 | 2 | 0 | 2 | 3 | 6 | 4 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 0 | 2 | 0 | 2 | 6 | 6 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 0 + 2 + 0 + 2 + 6 + 6 + 8 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1902023641 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
DR. MICHAEL STEWART SALTER DPM
Podiatrist
(Foot & Ankle Surgery)
1460 WALTON BLVD
STE 60
ROCHESTER HILLS, MI
ZIP 48309
DR. EMILY RUTH JERNBERG PH. D.
Psychologist
(Clinical)
1460 WALTON BLVD
#202
ROCHESTER HILLS, MI
ZIP 48309
DR. RONALD PATRICK HERBST D.D.S.
Dentist
(General Practice)
1460 WALTON BLVD
SUITE #205
ROCHESTER HILLS, MI
ZIP 48309
DR. MICHAEL GLASS D.D.S.
Dentist
(Endodontics)
1460 WALTON BLVD
SUITE 208
ROCHESTER HILLS, MI
ZIP 48309
DR. DONALD P OHLSSON DDS
Dentist
1460 WALTON BLVD
SUITE 204
ROCHESTER, MI
ZIP 48309
KENNETH J BONK DDS
Oral & Maxillofacial Surgery
1460 WALTON BLVD
STE 10
ROCHESTER HILLS, MI
ZIP 48309
PAUL A RENKE DDS
Oral & Maxillofacial Surgery
1460 WALTON BLVD
STE 10
ROCHESTER HILLS, MI
ZIP 48309
DR. JAMES BARTUNEK M.D.
Psychiatry & Neurology
(Psychiatry)
1460 WALTON BLVD
SUITE 215
ROCHESTER HILLS, MI
ZIP 48309
DR. JENNIFER LYNNE BELT PSYD
Psychologist
(Clinical)
1460 WALTON BLVD
SUITE 218
ROCHESTER HILLS, MI
ZIP 48309
MRS. SUSAN HAWKINS BOYER MA LPC
Counselor
(Professional)
1460 WALTON BLVD
SUITE 202
ROCHESTER HILLS, MI
ZIP 48309
DR. STEPHEN ERIC BREUNING PH.D.
Psychologist
1460 WALTON BLVD
STE 202
ROCHESTER HILLS, MI
ZIP 48309
MERIDITH LYNN MILLER PH.D.
Psychologist
(Clinical)
1460 WALTON BLVD
SUITE 200
ROCHESTER HILLS, MI
ZIP 48309
DR. FRANKLYN EDWARD RICE PH.D.
Psychologist
1460 WALTON BLVD
SUITE 101
ROCHESTER HILLS, MI
ZIP 48309
DR. JOHN WILLIAM JOHR D.C.
Chiropractor
1460 WALTON BLVD
SUITE 100
ROCHESTER HILLS, MI
ZIP 48309
MICHAEL S SALTER DPM PC
Podiatrist
(Foot & Ankle Surgery)
1460 WALTON BLVD
SUITE 60
ROCHESTER HILLS, MI
ZIP 48309
JOHR FAMILY CHIROPRACTIC , PLLC
Chiropractor
1460 WALTON BLVD
SUITE 100
ROCHESTER HILLS, MI
ZIP 48309
SUSAN K. STACKPOOLE LMSW, CSW, BCD
Social Worker
(Clinical)
1460 WALTON BLVD
SUITE 202
ROCHESTER HILLS, MI
ZIP 48309
DR. ROBERT S FINK PH.D.
Psychologist
1460 WALTON BLVD
SUITE 101
ROCHESTER HILLS, MI
ZIP 48309
DR. MICHAEL DAVID YUEN D.D.S.
Dentist
(Endodontics)
1460 WALTON BLVD
SUITE 208
ROCHESTER HILLS, MI
ZIP 48309
DR. RALPH JAMES SCHILLACE PH.D.
Physical Medicine & Rehabilitation
1460 WALTON BLVD
SUITE 101
ROCHESTER HILLS, MI
ZIP 48309
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1902023641, enumerated as an "organization" on April 20, 2007.
The provider is located at 1460 WALTON BLVD SUITE 200 ROCHESTER HILLS, MI 48309 and the phone number is (248) 650-1800.
Internal Medicine with taxonomy code 207R00000X.
The provider might be accepting Accepts: Ambetter from Meridian, Ambetter Health, Blue. Please consult your insurance carrier or call the provider to verify.
