Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

William Beaumont Hospital

Organization Emergency Medicine Physician · NPI 1184174963

William Beaumont Hospital is an Emergency Medicine Physician in West Bloomfield, Michigan. Licensed in Michigan. Registered with an NPI since 2016.

Licensed in
MI
In the registry since
2016
Specialties on file
3

Practice location Address checks out

6900 Orchard Lake Rd Ste 100 Beaumont Urgent Care
West Bloomfield, MI 48322-3424
Phone: (248) 855-4134
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X (MI)
Physician Assistant Taxonomy 363A00000X (MI)
Nurse Practitioner Taxonomy 363L00000X (MI)

Record details

NPI number1184174963
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBeaumont Urgent Care
Authorized official Lee Odom — President Shared Services · (947) 522-3326
NPI enumeratedOctober 5, 2016
Last updated in NPPESOctober 1, 2021
Certification dateOctober 1, 2021
Mailing address26901 Beaumont Blvd, Compliance, Southfield, MI 48033-4716

Other providers in West Bloomfield