Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Brooke Elizabeth Bubolz, RD, PA

Individual provider Physician Assistant · NPI 1922972793

Brooke Elizabeth Bubolz, RD, PA is a Physician Assistant in Rochester Hills, Michigan. Licensed in Michigan. Registered with an NPI since 2025.

Licensed in
MI
In the registry since
2025
Specialties on file
2
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1349 S Rochester Rd Ste 210
Rochester Hills, MI 48307-3152
Phone: (248) 844-2700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601014346 (MI)
Registered Dietitian Taxonomy 133V00000X

Record details

NPI number1922972793
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD , PA
Sole proprietorNo
NPI enumeratedOctober 3, 2025
Last updated in NPPESSeptember 20, 2026
Certification dateSeptember 20, 2026

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