IndividualActive
Bogdan Peres
NPI 1295500171 · Physician Assistant · Macomb, MI
Provider details
- NPI number
- 1295500171
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 5601012101 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
20761 Hall Rd
Macomb, MI 48044-4231
Phone: (586) 267-5168
Street-level locationGet directions
Mailing address
20761 Hall Rd
Macomb, MI 48044-4231
Registry dates
- Enumerated
- 2023-11-20
- Last updated
- 2024-01-12
- Certified
- 2024-01-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.