Active NPI
Bradley A Martino, DO
- Family Medicine Physician
- Grand Haven, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101025671
- Practice address
- 1091 S Beacon Blvd
Grand Haven, MI 49417-2607 - Phone
- (616) 604-0096
- Fax
- (616) 604-0095
- NPI assigned
- May 24, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34.017385 | OH | |
| Family Medicine Physician | 207Q00000X | 5101025671 | MI | Primary |
Addresses
Primary practice location
1091 S Beacon Blvd
Grand Haven, MI 49417-2607
Mailing address
4400 E 8 Mile Rd
Detroit, MI 48234-1003
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, OH, NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Osteopathic Manipulative Medicine
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Box Butte General Hospital
Practice addresses (Care Compare)
2091 Box Butte Ave
Suite 700
Alliance, NE 69301-4458
Phone (308) 762-7244
2101 Box Butte Ave
Alliance, NE 69301-4444
2101 Box Butte Ave
Alliance, NE 69301-4445
Phone (308) 762-6660
PO Box
Suite 678
Alliance, NE 69301
Hospital & facility affiliations
- Box Butte General Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.04 of 100
- Quality
- 60.55
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.81
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kings Daughters Medical Specialties Inc., | Current | Accepting new patients | |
| Synanon Inc | Current | Accepting new patients | |
| Kings Daughters Medical Specialties Inc | Current | Accepting new patients | |
| Hackley Community Care Center, Inc | Current | Accepting new patients | |
| Hackley Community Care Center Inc | Family Medicine | Current | Accepting new patients |
| Hackley Community Care Center Inc | Current | Accepting new patients | |
| Hackley Community Care Center, Inc | Current | Accepting new patients | |
| Kings Daughters Medical Specialties Inc | Current | Accepting new patients |
Locations
1091 S Beacon Blvd
Grand Haven, MI 49417
Phone (616) 604-0096
1675 Leahy St
Ste 315A
Muskegon, MI 49442
Phone (231) 672-7800
1550 Clinton St
Muskegon, MI 49442
Phone (231) 733-6910
2700 Baker St
Fl 3
Muskegon Heights, MI 49444
Phone (231) 733-6607
1901 Argonne Rd
Portsmouth, OH 45662
Phone (740) 991-0911
1242 Crescent Dr
Wheelersburg, OH 45694
Phone (740) 574-8441
Interoperability endpoints
- bradleymartino@hccc.allscriptsdirect.net
Organizations & group practices 10
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.
-
- Federally Qualified Health Center (FQHC)
- Muskegon, MI
- NPI 1629066238
Family Medicine
-
- Urgent Care Clinic/Center
- Grand Haven, MI
- NPI 1588650261
-
- Critical Access Hospital
- Alliance, NE
- NPI 1811929060
-
- Clinic/Center
- Alliance, NE
- NPI 1871652453
-
- Federally Qualified Health Center (FQHC)
- Muskegon, MI
- NPI 1255669818
-
- Federally Qualified Health Center (FQHC)
- Muskegon, MI
- NPI 1427787621
-
- Federally Qualified Health Center (FQHC)
- Muskegon, MI
- NPI 1609451905
-
- Radiation Oncology Physician
- Ashland, KY
- NPI 1699565176
-
- Medical Oncology Physician
- Portsmouth, OH
- NPI 1942541628
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Alliance, NE
- NPI 1811929060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753401600000",
"number": "1194216218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 E 8 MILE RD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482341003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1091 S BEACON BLVD",
"city": "GRAND HAVEN",
"state": "MI",
"postal_code": "494172607",
"telephone_number": "616-604-0096",
"fax_number": "616-604-0095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINO",
"first_name": "BRADLEY",
"middle_name": "A",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-24",
"last_updated": "2025-07-25",
"certification_date": "2025-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "34.017385",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101025671",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Haven, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.