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

Individual provider Surgery Physician · NPI 1578632246

Amy L Braddock, MD is a General Surgery in Pontiac, Michigan. Graduated from Wayne State University School of Medicine in 1999, 27 years ago. Practices with Iha Olma Specialty Services LLC, a 41-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
27
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

44555 Woodward Ave Ste 206
Pontiac, MI 48341
Phone: (248) 338-7171
Fax: (248) 858-3830
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 4301074104 (MI)

Record details

NPI number1578632246
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 7, 2006
Last updated in NPPESJuly 8, 2007
Mailing address44555 Woodward Ave, Suite 206, Pontiac, MI 48341

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1999 (27 years in practice)
Group practice Iha Olma Specialty Services Llc — 41 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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