Active NPI
Bronson Practice Management
- Internal Medicine Physician
- Kalamazoo, MI
National Provider Identifier
1104840529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- BRONSON PRACTICE MANAGEMENT
- Practice address
- 601 John St
Box 42
Kalamazoo, MI 49007-5341 - Phone
- (269) 341-6000
- NPI assigned
- Jul 27, 2006
- Organization subpart
- Yes
- Parent organization
- BRONSON PRACTICE MANAGEMENT
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. James B Falahee
- Title
- SVP Legal Affairs, Clo
- Phone
- (269) 341-6000
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Internal Medicine Physician | 207R00000X | Primary | ||
| Obstetrics & Gynecology Physician | 207V00000X | |||
| Pediatrics Physician | 208000000X | |||
| Surgery Physician | 208600000X | |||
| Physician Assistant | 363A00000X | MI |
Addresses
Primary practice location
601 John St
Box 42
Kalamazoo, MI 49007-5341
Mailing address
601 John St
Box 42
Kalamazoo, MI 49007-5341
Phone (269) 341-7806
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CA1068 | Other | MI | RAILROAD MEDICARE |
| CB9054 | Other | MI | RAILROAD MEDICARE |
| CN1148 | Other | MI | RAILROAD MEDICARE |
| 0C910950 | Other | MI | BCBSM |
| C30861 | Other | MI | RAILROAD MEDICARE |
| CC3543 | Other | MI | RAILROAD MEDICARE |
| CA4396 | Other | MI | RAILROAD MEDICARE |
National Provider Directory
National Provider Directory- Part of
- Borg Research Inc
Locations
601 John St
Ste M-020
Kalamazoo, MI 49007
Phone (269) 341-8282
5629 Stadium Dr
Kalamazoo, MI 49009
Phone (269) 372-1000
Practitioners & affiliated clinicians
Practitioners 13
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Kalamazoo, MI
- NPI 1699757849
-
- Family Medicine Physician
- Paw Paw, MI
- NPI 1972585115
-
- Family Medicine Physician
- Paw Paw, MI
- NPI 1326020579
-
- Emergency Medical Services (Emergency Medicine) Physician
- Kalamazoo, MI
- NPI 1194766469
-
- Pediatrics Physician
- Kalamazoo, MI
- NPI 1851594659
-
- Emergency Medicine Physician
- Kalamazoo, MI
- NPI 1013114693
Family Medicine
-
- Pediatric Adolescent Medicine Physician
- Portage, MI
- NPI 1215078142
-
- Emergency Medicine Physician
- Kalamazoo, MI
- NPI 1821051822
-
- General Practice Physician
- Kalamazoo, MI
- NPI 1700986965
-
- Family Medicine Physician
- Kalamazoo, MI
- NPI 1750372033
-
- Internal Medicine Physician
- Paw Paw, MI
- NPI 1417922568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1404691200000",
"number": "1104840529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 JOHN ST",
"address_2": "BOX 42",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490075341",
"telephone_number": "269-341-7806",
"fax_number": "269-341-8743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 JOHN ST",
"address_2": "BOX 42",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490075341",
"telephone_number": "269-341-6000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRONSON PRACTICE MANAGEMENT",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BRONSON PRACTICE MANAGEMENT",
"enumeration_date": "2006-07-27",
"last_updated": "2014-07-07",
"status": "A",
"authorized_official_last_name": "FALAHEE",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "SVP LEGAL AFFAIRS, CLO",
"authorized_official_telephone_number": "269-341-6000",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "MI",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CA1068",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CB9054",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CN1148",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "0C910950",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "C30861",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CC3543",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CA4396",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.