Caitlin M Brazda, DO

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

5101020500 Issued in MI

Practice address

6401 Prairie St Ste 1700
Norton Shores, MI 49444-7843

Phone

(231) 672-7939

Fax

(231) 727-7935

NPI assigned

May 20, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Obstetrics/Gynecology

Education

Michigan State University College of Osteopathic Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lakes OBGYN SpecialistGroup PAC ID 4688857170, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trinity Health Muskegon Hospital Hospital, Muskegon, MI, CCN 230066

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cbrazda36969@direct.trinity-health.org

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.

• Lakes OBGYN Specialist

  • Obstetrics & Gynecology Physician
  • Norton Shores, MI
  • NPI 1548570062
  Medicare reassignment Care Compare group NPD
• Mercy Health Partners - Physician Specialist

  • Internal Medicine Physician
  • Muskegon, MI
  • NPI 1922248772
  Medicare reassignment NPD
• Mercy Women'S Health Services

  • Obstetrics & Gynecology Physician
  • Muskegon, MI
  • NPI 1467476143
  Medicare reassignment NPD
• Mercy Health Partners

  • Certified Registered Nurse Anesthetist
  • Shelby, MI
  • NPI 1154910172
  NPD (past)
• Mercy Health Partners

  • General Acute Care Hospital
  • Muskegon, MI
  • NPI 1831132133
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mercy Health Partners

  • General Acute Care Hospital
  • Muskegon, MI
  • NPI 1831132133
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1225474174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 PRAIRIE ST STE 1700",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494447843",
            "telephone_number": "231-672-7939",
            "fax_number": "231-727-7935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 PRAIRIE ST STE 1700",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494447843",
            "telephone_number": "231-672-7939",
            "fax_number": "231-727-7935"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6401 Prairie St Ste 2100",
            "address_purpose": "LOCATION",
            "city": "Norton Shores",
            "state": "MI",
            "postal_code": "49444",
            "country_code": "US",
            "telephone_number": "231-727-7939",
            "fax_number": "231-727-7935",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 E Sherman Blvd Fl 4",
            "address_purpose": "LOCATION",
            "city": "Muskegon",
            "state": "MI",
            "postal_code": "494441849",
            "country_code": "US",
            "telephone_number": "231-672-2000",
            "fax_number": "231-672-2190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAZDA",
        "first_name": "CAITLIN",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-20",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "5101020500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cbrazda36969@direct.trinity-health.org",
            "affiliation": "N",
            "endpointDescription": "Lakes OBGYN",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "office",
            "address_1": "6401 Prairie St Ste 2100",
            "city": "Norton Shores",
            "state": "MI",
            "country_code": "US",
            "postal_code": "49444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joseph Borst, DDS
• Kelly Bos, MA. CCC-SLP
• Matthew Allen Bowen, M.D.
• Alison Jean Boyer-Rood, DPT
• Michelle J Bray, FNP-C
• Breakwater Oral and Maxillofacial Surgery PLLC
• Brianne Ferguson DDS PLLC
• Valerie Renee Brickner, AU.D.
• Bright Smiles Dental Care PLC
• Debora Lucille Bringedahl

• Obstetrics & Gynecology Physician in Norton Shores, MI
• Providers in Norton Shores, MI by specialty
• Obstetrics & Gynecology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.

Verify at the official NPI Registry.