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

Dr. Michael I Bruderly, MD

Individual provider Family Medicine Physician · NPI 1164480141

Dr. Michael I Bruderly, MD is a Family Practice in Ann Arbor, Michigan. Graduated from University of Michigan Medical School in 2003, 23 years ago. Practices with Iha Health Services Corporation, a 1,146-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
23
Trained at
University of Michigan Medical School
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

4350 Jackson Rd Ste 200
Ann Arbor, MI 48103-1889
Phone: (734) 761-2581
Fax: (734) 761-9540
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4301081599 (MI)

Record details

NPI number1164480141
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 1, 2006
Last updated in NPPESDecember 27, 2016
Mailing address24 Frank Lloyd Wright Dr, Po Box 0446 Lobby J, Ann Arbor, MI 48105-9484

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 2003 (23 years in practice)
Group practice Iha Health Services Corporation — 1146 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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