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

Kenneth Bishop

Individual provider Emergency Medicine Physician · NPI 1407815681

Kenneth Bishop is an Emergency Medicine in Troy, Michigan. Graduated from Midwestern University, Chicago College of Osteopathic Med in 1998, 28 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
28
Trained at
Midwestern University, Chicago College of Osteopathic Med
Licensed in
MI
In the registry since
2006

Practice location Address checks out

44201 Dequindre Rd
Troy, MI 48085-1117
Phone: (248) 964-4044
Show map & directions

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

Additional practice locations (1)

  • 36555 26 Mile Rd Ste 1100, Lenox, MI 48048-3186 — (947) 523-4040

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 5101013989 (MI)

Record details

NPI number1407815681
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 17, 2006
Last updated in NPPESJuly 22, 2022
Certification dateJuly 22, 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 specialtyEMERGENCY MEDICINE
Medical schoolMIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated 1998 (28 years in practice)
Group practice Beaumont Medical Group Hospital Based Services — 572 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Troy