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BROOKVILLE PEDIATRIC & INTERNAL MEDICINE PC NPI 1346200847


NPI Information

NPI: 1346200847
Provider Name: BROOKVILLE PEDIATRIC & INTERNAL MEDICINE, PC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 23D0721269

Address:
1200 56TH ST SW
WYOMING, MI
ZIP 49509
Phone: (616) 243-5707
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BROOKVILLE PEDIATRIC & INTERNAL MEDICINE, PC is a pediatrics in Wyoming, MI. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. BROOKVILLE PEDIATRIC & INTERNAL MEDICINE, PC NPI is 1346200847. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1200 56TH ST SW
WYOMING, MI
ZIP 49509
Phone: (616) 243-5707
Fax: (616) 243-1170

The provider's authorized official is April A. Keizer .
The authorized official title is Administrative Manag and has the following contact phone number (616) 514-3805.

The CLIA number assigned to this NPI record is 23D0721269 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/27/2006 and was last updated on 4/7/2014.


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
1207R00000XInternal MedicineMICHIGANNo
2208000000XPediatricsMICHIGANYes

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

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