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

Aaron Buckley, PA

Individual provider Physician Assistant · NPI 1972102556

Aaron Buckley, PA is a Physician Assistant in Troy, Michigan. Qualified in 2020, 6 years ago. Practices with Beaumont Medical Group Hospital Based Services, a 572-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
6
Licensed in
MI
In the registry since
2020
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

44201 Dequindre Rd
Troy, MI 48085-1117
Phone: (248) 933-0119
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 567 Saint Louis St, Ferndale, MI 48220-2436 — (248) 933-0119

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601010211 (MI)

Record details

NPI number1972102556
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 23, 2020
Last updated in NPPESJuly 19, 2022
Certification dateJuly 19, 2022
Mailing address26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Beaumont Medical Group Hospital Based Services — 572 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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