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OAKLAND LIFESTYLE MEDICINE-PLLC
NPI 1962129544
General Practice in Bloomfield Hills, MI

Active since October 24, 2022
36800 WOODWARD AVE STE 210, BLOOMFIELD HILLS, MI 48304(248) 543-3566(248) 543-2628 Get Directions Write a Review

NPPES record last updated: May 19, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 19, 2023, Apr 10, 2023, Dec 30, 2022 and 3 more (6 updates tracked since 2022).

About Oakland Lifestyle Medicine-pllc NPPES

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

OAKLAND LIFESTYLE MEDICINE-PLLC (NPI 1962129544) is a healthcare organization registered as a general practice in Bloomfield Hills, Michigan and active in the NPI registry since October 2022. The organization maintains a secondary practice location in Berkley and lists Jonathan Dean, Owner, as its authorized official.

NPPES Registry Identity

NPI1962129544
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameOAKLAND LIFESTYLE MEDICINE-PLLC
Location Address36800 WOODWARD AVE STE 210Bloomfield Hills, MI 48304-0917
Mailing Address36800 Woodward Ave Ste 210Bloomfield Hills, MI 48304-0917 · (248) 543-3566
Phone(248) 543-3566
Fax(248) 543-2628
Organization SubpartNo
Authorized OfficialJonathan DeanOwner · (248) 703-6288
Enumeration DateOctober 24, 2022
Last NPPES UpdateMay 19, 20236 updates tracked since enumeration
NPPES CertifiedMay 19, 2023
✔ NPI 1962129544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
36800 WOODWARD AVE STE 210, Bloomfield Hills, MI 48304
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Secondary Practice Location 1

Location 128931 Woodward AveBerkley, MI 48072-0923 · Phone (248) 543-3566

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Oakland Lifestyle Medicine-pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Oakland Lifestyle Medicine-PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Casey Charlebois, MS,MPT
Physical Therapist in Private Practice
NPI 1942525449
36800 WOODWARD AVE STE 210
Bloomfield Hills, MI 48304
(248) 543-3566
✔ Accepts MedicareSame address
Christophe Dean, DC
Chiropractic
NPI 1225029382
36800 WOODWARD AVE STE 210
Bloomfield Hills, MI 48304
(248) 543-3566
✔ Accepts MedicareSame address
Jonathan Dean, D.C.
Chiropractic
NPI 1891932273
36800 WOODWARD AVE STE 210
Bloomfield Hills, MI 48304
(248) 543-3566
✔ Accepts MedicareSame address
Thomas Constand, DPT
Physical Therapist in Private Practice
NPI 1194423335
1560 E MAPLE RD STE 205
Troy, MI 48083
(248) 923-3180
✔ Accepts Medicare5.3 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Oakland Lifestyle Medicine-Pllc's NPI number?

The NPI number for Oakland Lifestyle Medicine-Pllc is 1962129544. It was assigned to this organization in the NPPES registry on October 24, 2022.

Where is Oakland Lifestyle Medicine-Pllc located?

Oakland Lifestyle Medicine-Pllc is located at 36800 Woodward Ave Ste 210, Bloomfield Hills, MI 48304. The listed phone number is (248) 543-3566.

What is Oakland Lifestyle Medicine-Pllc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Oakland Lifestyle Medicine-Pllc enrolled in Medicare?

Yes. Oakland Lifestyle Medicine-Pllc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Oakland Lifestyle Medicine-Pllc?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Oakland Lifestyle Medicine-Pllc, in Chiropractic and Physical Therapist in Private Practice. 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, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Oakland Lifestyle Medicine-Pllc accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Oakland Lifestyle Medicine-Pllc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Oakland Lifestyle Medicine-Pllc was last updated on May 19, 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.