Provider Demographics
NPI:1881755544
Name:ALPINER, NEAL M (MD)
Entity type:Individual
Prefix:DR
First Name:NEAL
Middle Name:M
Last Name:ALPINER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 253026
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48325
Mailing Address - Country:US
Mailing Address - Phone:877-433-7767
Mailing Address - Fax:877-433-6907
Practice Address - Street 1:4949 COOLIDGE HWY
Practice Address - Street 2:
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48073-1026
Practice Address - Country:US
Practice Address - Phone:877-433-7767
Practice Address - Fax:877-433-6907
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2011-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MINA053589208100000X, 2081P0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No2081P0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPediatric Rehabilitation Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI104817618Medicaid
MIOF 38299OtherBCBCM
MIP31370001Medicare ID - Type UnspecifiedOP31370
MI2055Medicare PIN
MIMI2054Medicare PIN
MIOF 38299OtherBCBCM