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

Dr. Randall Colvin, MD

Individual provider Family Medicine Physician · NPI 1306133863

Dr. Randall Colvin, MD is a Family Practice in Warren, Michigan. Qualified in 2011, 15 years ago. Practices with Henry Ford Health St John Hospital, a 330-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
15
Licensed in
MI
In the registry since
2011
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

11270 E 13 Mile Rd Ste 4
Warren, MI 48093-2599
Phone: (586) 574-0630
Fax: (586) 571-1183
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4301098835 (MI)

Record details

NPI number1306133863
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 6, 2011
Last updated in NPPESMarch 12, 2026
Certification dateMarch 12, 2026
Mailing address70067 Sunny Brook Ln, Richmond, MI 48062-5561

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Henry Ford Health St. John Hospital — 330 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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