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

Burton Ellis

Individual provider Diagnostic Radiology Physician · NPI 1689633067

Burton Ellis is a Diagnostic Radiology Physician in West Bloomfield, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006

Practice location Address checks out

6825 Heirloom Cir
West Bloomfield, MI 48322-4805
Phone: (248) 497-1234
Show map & directions

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

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 4301030106 (MI)

Record details

NPI number1689633067
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 22, 2006
Last updated in NPPESJuly 17, 2024
Certification dateJuly 17, 2024
Mailing address6825 Heirloom Cir, West Bloomfield, MI 48322-4805

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