NPIMap

Individual provider Active NPI

Byron J Druzgal

  • Emergency Medicine Physician
  • Spring Lake, MI
National Provider Identifier
1003868191
Registry record updated Mar 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
D0061444 Issued in MD
Practice address
606 Edgewater CT
Spring Lake, MI 49456-2171
Phone
(616) 842-3600
NPI assigned
May 17, 2006
Last updated
Mar 3, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X D0061444 MD Primary

Addresses

Primary practice location

606 Edgewater CT
Spring Lake, MI 49456-2171

Mailing address

606 Edgewater CT
Spring Lake, MI 49456-2171
Phone (717) 387-2255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061201000278 MI Practitioner - Emergency Medicine 9739143173 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Maryland School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grand River Emergency Medical Group PLCGroup PAC ID 3274425905, 41 clinicians

Practice addresses (Care Compare)

200 Jefferson Ave SE
Mercy Health St. Mary's
Grand Rapids, MI 49503-4502
Phone (616) 685-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0061444MDMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grand River Emergency Medical Group PLC Emergency Medicine CurrentSince Sep 20, 2006 Accepting new patients
Aspirus Keweenaw Current Accepting new patients
Islands Emergency Medical Service Hawaii, LLC Past Accepting new patients
Washington County Emergency Medicine Physicians, LLC Past Accepting new patients
Epmg of Michigan, P.C. Emergency Medicine PastSince Aug 4, 2024 Accepting new patients
Emergency Health Partners Grand Haven PLC Emergency Medicine Past Accepting new patients
Hawaii Emergency Physicians Associated Inc Emergency Medicine Past Accepting new patients
Flowing Waters Emergency Physicians Emergency Medicine Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

200 Jefferson Ave SE
Grand Rapids, MI 49503
Phone (616) 685-5000

205 Osceola St
Laurium, MI 49913
Phone (906) 337-3100

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299110400000",
    "number": "1003868191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 EDGEWATER CT",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "494562171",
            "telephone_number": "717-387-2255",
            "fax_number": "717-387-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 EDGEWATER CT",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "494562171",
            "telephone_number": "616-842-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRUZGAL",
        "first_name": "BYRON",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2011-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "D0061444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Lake, MI

Sources for this page

Verify at the official NPI Registry.