Individual provider Active NPI

Steven J Verbridge, D.O.

  • General Practice Physician
  • Marquette, MI
National Provider Identifier
1093764706
Registry record updated Apr 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
5101015286 Issued in MI
Practice address
420 W Magnetic St
Marquette, MI 49855-2711
Phone
(906) 225-3561
Fax
(906) 225-3370
NPI assigned
May 9, 2006
Last updated
Apr 28, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 5101015286 MI
General Practice Physician 208D00000X 5101015286 MI Primary

Addresses

Primary practice location

420 W Magnetic St
Marquette, MI 49855-2711

Mailing address

4602 Dept
Carol Stream, IL 60122-0021
Phone (906) 225-7725

Other identifiers 3

IdentifierTypeStateIssuer
P00353406OtherMIRAILROAD MEDICARE
4902559MedicaidMI
SV015286OtherMIBCBSM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060803000210 MI Practitioner - Emergency Medicine 9830102185 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acquisition Bell Hospital LLCGroup PAC ID 3971730987, 12 clinicians

Practice addresses (Care Compare)

901 Lakeshore Dr
Ishpeming, MI 49849-1367
Phone (906) 486-4431

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101015086MIMDObstetrics & Gynecology Physician
5101015286MIMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Acquisition Bell Hospital LLC CurrentSince Jun 12, 2017 Accepting new patients
Portage Physician Practices Inc CurrentSince Sep 1, 2016 Accepting new patients
DLP Marquette Physician Practices Inc CurrentSince Sep 1, 2012 Accepting new patients
Portage Physician Practices Inc Emergency Medicine Current Accepting new patients
Portage Hospital LLC CurrentSince Sep 1, 2016 Accepting new patients
Northern Michigan Emergency Physicians, LLP Emergency Medicine CurrentSince Aug 1, 2016 Accepting new patients
DLP Marquette Physician Practices Inc Current Accepting new patients
Portage Physician Practices Inc. Emergency Medicine CurrentSince Sep 1, 2016 Accepting new patients
Acquisition Bell Hospital LLC CurrentSince Jun 12, 2017 Accepting new patients
Portage Hospital LLC CurrentSince Sep 1, 2016 Accepting new patients
DLP Marquette Physician Practices Inc CurrentSince Sep 1, 2012 Accepting new patients
Dickinson County Healthcare System CurrentSince Jul 1, 2016 Accepting new patients
Northern Michigan Emergenc Physicians, LLP Emergency Medicine CurrentSince Aug 1, 2016 Accepting new patients
Acquisition Bell Hospital LLC Emergency Medicine Past Accepting new patients

Locations

3401 Ludington St
Escanaba, MI 49829
Phone (906) 786-3311

500 Campus Dr
Hancock, MI 49930
Phone (906) 483-1000

500 Campus Dr
Ste 5
Hancock, MI 49930
Phone (906) 483-1700

894 Campus Dr
Ste B
Hancock, MI 49930
Phone (906) 483-1128

1721 S Stephenson Ave
Iron Mountain, MI 49801
Phone (906) 776-5415

901 Lakeshore Dr
Ishpeming, MI 49849
Phone (906) 485-2653

1414 W Fair Ave
Ste 36
Marquette, MI 49855
Phone (906) 225-3864

420 W Magnetic St
Marquette, MI 49855
Phone (906) 225-3540

580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131

1500 Sandpoint Rd
Munising, MI 49862
Phone (906) 387-4110

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 1

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": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240876800000",
    "number": "1093764706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4602 DEPT",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601220021",
            "telephone_number": "906-225-7725",
            "fax_number": "906-225-4537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W MAGNETIC ST",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498552711",
            "telephone_number": "906-225-3561",
            "fax_number": "906-225-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERBRIDGE",
        "first_name": "STEVEN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2009-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101015286",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "5101015286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00353406",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4902559",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "SV015286",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marquette, MI

Sources for this page

Verify at the official NPI Registry.