DR. RICHARD CHARLES BERCOU (NPI# 1053313973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053313973 |
| Entity Type | Individual |
| Full Name | DR. RICHARD CHARLES BERCOU |
| Credential | PHARM.D. |
| Practice Address |
23025 Old Orchard Trl Bingham Farms MI 48025-3432 |
| Practice Telephone | 2486136716 |
| Practice Fax Number | 2482585633 |
| Mailing Telephone | 2486136716 |
| Mailing Fax Number | 2482585633 |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2007-09-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1300X |
Pharmacist Specialization: Psychiatric |
5302023444 | MI | Pharmacy Service Providers |
| Street Address |
23025 OLD ORCHARD TRL |
| City | BINGHAM FARMS |
| State | MI |
| Zip Code | 48025-3432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518571413 | Cole Nicolas Gomez | Technician/Technologist | 32199 Telegraph Rd, Bingham Farms, MI 48025 | 2020-09-08 |
| 1346859212 | Jordyn Jones | Technician/Technologist | 32199 Telegraph Rd Ste 205, Bingham Farms, MI 48025 | 2020-07-27 |
| 1013492644 | Shaniya Hyman | Technician/Technologist | 32100 Telegraph Rd Suit 205, Bingham Farms, MI 48025 | 2018-09-28 |
| 1043799042 | Assisted Home Health | Hospice Care, Community Based | 20150 Plantation Ln, Beverly Hills, MI 48025 | 2018-08-09 |
| 1235618224 | Robert Dean Harley | Technician/Technologist | 31200 Telegraph Rd Ste 205, Bingham Farms, MI 48025 | 2018-08-09 |
| 1760973911 | Tailormed Medical Inc | Case Management | 30100 Telegraph Road, Suite 403, Bringham Farms, MI 48025 | 2018-05-23 |
| 1245745447 | Supportive Home Health Care LLC | Home Health | 30100 Telegraph Rd Ste 478, Bingham Farms, MI 48025 | 2017-12-11 |
| 1265954192 | Breeona Rue | Technician/Technologist | 32100 Telegraph Rd Suite 205, Bingham Farms, MI 48025 | 2017-07-12 |
| 1417478132 | Gina Maria Bignotti | Behavior Technician | 32100 Telegraph, Bingham Farms, MI 48025 | 2017-07-03 |
| 1295256238 | Chanel Matti | Behavior Technician | 32100 Telegraph Rd Suite 185, Bingham Farms, MI 48025 | 2017-06-29 |
| Find all providers in zip 48025 | ||||
| Taxonomy Code | 1835P1300X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Psychiatric |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing care of patients with psychiatric illness by assessing and monitoring patients, recognizing drug-induced problems, and recommending appropriate treatment plans. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801323316 | Anthony Larouche | Pharmacist | 500 Hancock St Ste 100, Saginaw, MI 48602-4224 | 2017-05-15 |
| 1285177493 | Opal M Bacon | Pharmacist | 1 Ford Place, 1c, Outpatient Psychiatry, Detroit, MI 48202 | 2016-11-21 |
| 1457437873 | Patricia Jane Jones | Pharmacist | 2676 Dorchester Rd, Birmingham, MI 48009-5989 | 2006-10-27 |
| 1871101394 | Cherisse Norberte | Pharmacist | 325 E H St, Iron Mountain, MI 49801-4760 | 2020-07-21 |
| 1255984233 | Andrew Saul | Pharmacist | 1500 Weiss St, Saginaw, MI 48602-5251 | 2019-07-19 |
| 1336551738 | Ferdnand Chisom Osuagwu | Pharmacist | 1000 Houghton Ave, Saginaw, MI 48602-5303 | 2014-05-20 |
| 1952734923 | Chelsea N Clark | Pharmacist | 5500 Armstrong Rd, 119a, Battle Creek, MI 49037-7314 | 2013-08-14 |
| 1609130640 | Shruti Chopra | Pharmacist | 5500 Armstrong Rd, Vamc Pharmacy -119a, Battle Creek, MI 49037-7314 | 2012-06-25 |
| 1669695987 | Kimberly Ann Hedrich | Pharmacist | 1200 N West Ave, Suite 500, Jackson, MI 49202-2179 | 2007-04-11 |
| 1003927658 | Peter Anthony Reilly | Pharmacist | 4646 John R St, Pharmacy Section, Detroit, MI 48201-1916 | 2006-08-31 |
| Find all providers with the same taxonomy | ||||
| City | BINGHAM FARMS |
| Zip Code | 48025 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.