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Bethesida Wholestic Center Pllc

Family Medicine Physician in Southfield, MI · enumerated 2007 · authorized official Grace Patterson, President, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1598980385

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Registry record

Entity type Organization (Type 2)
Legal business name Bethesida Wholestic Center Pllc
Practice address 21411 Civic Center Dr Ste 102, Southfield, MI, 48076
Fax (248) 499-1235
Enumeration date Apr 16, 2007
Last updated in NPPES Aug 15, 2019

Taxonomy & classification

103TF0000X Family Psychologist Behavioral Health & Social Service Providers Secondary
164W00000X Licensed Practical Nurse Nursing Service Providers Secondary
174H00000X Health Educator Other Service Providers Secondary
175F00000X Naturopath Other Service Providers Secondary
175L00000X Homeopath Other Service Providers Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary
207QG0300X Geriatric Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians Secondary
207QS1201X Sleep Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians Secondary
208VP0000X Pain Medicine Physician Allopathic & Osteopathic Physicians Secondary
208VP0014X Interventional Pain Medicine Physician Allopathic & Osteopathic Physicians Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary
363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary
363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary
363LP2300X Primary Care Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary
374K00000X Religious Nonmedical Practitioner Nursing Service Related Providers Secondary

Authorized official

Name Grace Patterson
Title President, Ceo

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Bethesida Wholestic Center Pllc?
Bethesida Wholestic Center Pllc is registered in NPPES as a Family Medicine Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-08-15.