Individual provider Active NPI

Brandi L Boone, CNM

  • Advanced Practice Midwife
  • Kalamazoo, MI
National Provider Identifier
1174824874
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
4704241209 Issued in MI
Practice address
601 John St
Suite N1200
Kalamazoo, MI 49007-5341
Phone
(269) 341-7979
Fax
(269) 341-6261
NPI assigned
Nov 11, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4707241209 MI
Advanced Practice Midwife 367A00000X 4704241209 MI Primary

Addresses

Primary practice location

601 John St
Suite N1200
Kalamazoo, MI 49007-5341

Mailing address

601 John St
Suite N1200
Kalamazoo, MI 49007-5341
Phone (269) 341-7979

Other practice location 1

3700 52nd St SE
Grand Rapids, MI 49512-9637
Phone (616) 656-3700

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130820000791 MI Practitioner - Certified Nurse Midwife (CNM) 3870735954 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
University of Cincinnati College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bronson Methodist HospitalGroup PAC ID 0244148633, 721 clinicians

Practice addresses (Care Compare)

601 John St
N1200
Kalamazoo, MI 49007-5318
Phone (269) 341-7979

Hospital & facility affiliations

  • Bronson Methodist Hospital Hospital, Kalamazoo, MI, CCN 230017

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
4707241209MIMDObstetrics & Gynecology Physician
4704241209MIMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Bronson South Haven Hospital CurrentSince May 7, 2021 Accepting new patients
Bronson Battle Creek Hospital CurrentSince Feb 1, 2021 Accepting new patients
Bronson Methodist Hospital Obstetrics & Gynecology CurrentSince Jan 9, 2016 Accepting new patients
Bronson Battle Creek Hospital Obstetrics & Gynecology CurrentSince Feb 1, 2021 Accepting new patients
Bronson South Haven Hospital CurrentSince May 7, 2021 Accepting new patients

Locations

3238 Capital Ave SW
Battle Creek, MI 49015
Phone (269) 979-6432

300 North Ave
Fl 2
Battle Creek, MI 49017
Phone (269) 245-5862

181 Emmett St W
Battle Creek, MI 49037
Phone (269) 965-8866

2854 S 11th St
Kalamazoo, MI 49009
Phone (269) 345-6197

601 John St
Ste N1200
Kalamazoo, MI 49007
Phone (269) 341-7887

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

940 Blue Star Hwy
South Haven, MI 49090
Phone (269) 263-2976

950 S Bailey Ave
South Haven, MI 49090
Phone (269) 639-2796

Organizations & group practices 5

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

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": "1289433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1174824874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 JOHN ST",
            "address_2": "SUITE N1200",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075341",
            "telephone_number": "269-341-7979",
            "fax_number": "269-341-6261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 JOHN ST",
            "address_2": "SUITE N1200",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075341",
            "telephone_number": "269-341-7979",
            "fax_number": "269-341-6261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3700 52nd St SE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495129637",
            "country_code": "US",
            "telephone_number": "616-656-3700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOONE",
        "first_name": "BRANDI",
        "middle_name": "L",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-11",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4707241209",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MI",
            "license": "4704241209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.