Bethesida Wholestic Center PLLC
NPI 1598980385 · Family Medicine Physician · Southfield, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bethesida Wholestic Center PLLC is a Family Medicine Physician organization in Southfield, MI (NPI 1598980385).
Provider details
- NPI number
- 1598980385
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Grace Patterson, President, Ceo(248) 820-7030
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Naturopath175F00000X
Other Service Providers
- Homeopath175L00000X
Other Service Providers
- Family Psychologist103TF0000X
Behavioral Health & Social Service Providers
- Licensed Practical Nurse164W00000X
Nursing Service Providers
- Health Educator174H00000X
Other Service Providers
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Additional practice locations (1)
- 15615 W Mcnichols RdDetroit, MI 48235-3541Phone: (248) 356-1111Fax: (248) 499-1235
Registry dates
- Enumerated
- 2007-04-16
- Last updated
- 2019-08-15
Frequently asked questions
- What is Bethesida Wholestic Center PLLC's NPI number?
- Bethesida Wholestic Center PLLC's National Provider Identifier (NPI) is 1598980385, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bethesida Wholestic Center PLLC?
- Bethesida Wholestic Center PLLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Bethesida Wholestic Center PLLC located?
- Bethesida Wholestic Center PLLC's practice location on file with NPPES is 21411 Civic Center Dr Ste 102, Southfield, MI 48076-3949.
- What is Bethesida Wholestic Center PLLC's phone number?
- The practice phone number listed in the NPPES registry for Bethesida Wholestic Center PLLC is (248) 820-7030.
- Does Bethesida Wholestic Center PLLC accept Medicare?
- Bethesida Wholestic Center PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Bethesida Wholestic Center PLLC?
- The authorized official listed on Bethesida Wholestic Center PLLC's NPPES record is Grace Patterson, President, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bethesida Wholestic Center PLLC's NPI active?
- Yes — Bethesida Wholestic Center PLLC's NPI (1598980385) is active in the NPPES registry as of the last update on 2019-08-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.