Samantha Brewer
Individual provider Active NPI Physical Medicine & Rehabilitation Physician · Grand Haven, MI
NPI 1114717774 · NPPES record last updated May 7, 2025
Key facts
- NPI
- 1114717774
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Medicine & Rehabilitation Physician 208100000X
- License
- 5502002119 (MI)
- Practice address
- 16760 Lincoln St
Grand Haven, MI 49417-8864 - Phone
- (616) 935-3300
- NPI assigned
- May 7, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5502002119 | MI | MD | Physical Medicine & Rehabilitation Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 5502002119 | MI | Yes |
Addresses
Primary practice location
16760 Lincoln St
Grand Haven, MI 49417-8864
Mailing address
16760 Lincoln St
Grand Haven, MI 49417-8864
Phone (616) 935-3300
Other providers in Grand Haven, MI
- Sheryl Lynn Boynton
- Jaclyn Bradley
- Grace Ann Brady
- Michael Scott Brady
- Hayley Braun
- Brian L Roscoe, DC, LLC
- Carrie Brondyke
- Brandi Sue Brower
- Christina Lee Brown
- Christina Marie Brown
All providers in Grand Haven, MI · Physical Medicine & Rehabilitation Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.