WILLIAM BARRY BONZELAAR M.D.032354 NPI 1053374165

NPI Information

NPI: 1053374165
Provider Name: WILLIAM BARRY BONZELAAR, M.D.032354
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
904 S WASHINGTON AVE
SUITE 210
HOLLAND, MI
ZIP 49423
Phone: (616) 392-8035
Get Directions

William Barry Bonzelaar, M.D.032354 is a family medicine in Holland, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. William Barry Bonzelaar, M.D.032354 NPI is 1053374165. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

904 S WASHINGTON AVE
SUITE 210
HOLLAND, MI
ZIP 49423-724
Phone: (616) 392-8035
Fax: (616) 392-7404

The enumeration date for this NPI number is 4/10/2006 and was last updated on 7/29/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		WB049408	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0700018	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN
2	3325725 10	MEDICAID	MICHIGAN
3	A78010	MEDICARE UPIN	MICHIGAN
4	207Q00000X	OTHER	MICHIGAN	TAXONOMY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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