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

Michael Thomas Fry, MD

Individual provider Sports Medicine (Orthopaedic Surgery) Physician · NPI 1013414432

Michael Thomas Fry, MD is a General Surgery in Saint Clair Shores, Michigan. Graduated from Texas Tech University Health Science Center School of Medicine in 2018, 8 years ago. Practices with Beaumont Medical Group- Specialty Services, a 858-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Michigan.

Years since qualifying
8
Trained at
Texas Tech University Health Science Center School of Medicine
Licensed in
CA, MI
In the registry since
2018
Specialties on file
2
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

25631 Little Mack Ave Ste 102
Saint Clair Shores, MI 48081-2100
Phone: (586) 443-2317
Show map & directions

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

Additional practice locations (1)

  • 757 Westwood Plz, Los Angeles, CA 90095-2022 — (310) 825-9111

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 4301514816 (MI)
Sports Medicine (Orthopaedic Surgery) Physician Taxonomy 207XX0005X · Licence A196123 (CA)

Record details

NPI number1013414432
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 11, 2018
Last updated in NPPESNovember 4, 2025
Certification dateNovember 4, 2025
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 specialtyGENERAL SURGERY
Medical schoolTEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Beaumont Medical Group- Specialty Services — 858 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Saint Clair Shores