OrganizationActive
Botsford General Hospital
NPI 1972054039 · Physician Assistant · Farmington Hills, MI
Provider details
- NPI number
- 1972054039
- Entity type
- Organization
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Parent organization
- Botsford Physician Assistants
- Organization subpart
- Yes
- Authorized official
- Lesley Willbrandt, Director Shared Services(947) 522-1911
- License
- 1060000070 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
28050 Grand River Ave
Farmington Hills, MI 48336-5919
Phone: (248) 471-8147
Street-level locationGet directions
Mailing address
26901 Beaumont Blvd
Southfield, MI 48033-3849
Registry dates
- Enumerated
- 2016-10-24
- Last updated
- 2019-08-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.