Active NPI
Jonathan F Osburn, MD
- Family Medicine Physician
- Bridgman, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301074663
- Practice address
- 9625 Red Arrow Hwy
Bridgman, MI 49106-9559 - Phone
- (269) 465-6050
- Fax
- (269) 465-3134
- NPI assigned
- Jun 24, 2006
- Last updated
- Mar 7, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301074663 | MI | Primary |
Addresses
Primary practice location
9625 Red Arrow Hwy
Bridgman, MI 49106-9559
Mailing address
9625 Red Arrow Hwy
Bridgman, MI 49106-9559
Phone (269) 465-6050
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0801103552 | Other | MI | BLUE CROSS PIN |
| 80188668 | Other | MI | RAILROAD MEDICARE |
| 4418524 | Medicaid | MI |
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: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Michigan Medical School, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
9625 Red Arrow Hwy
Bridgman, MI 49106-9559
Phone (269) 465-6050
Hospital & facility affiliations
- Corewell Health Lakeland Hospitals St Joseph Hospital
- Lakeland Hospital, St Joseph
- Corewell Health Watervliet Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeland Medical Practices | Current | Accepting new patients | |
| Lakeland Medical Practices | Current | Accepting new patients |
Locations
9623 Red Arrow Hwy
Bridgman, MI 49106
Phone (269) 465-6050
9625 Red Arrow Hwy
Bridgman, MI 49106
Phone (269) 465-6050
2002 S 11th St
Niles, MI 49120
Phone (269) 687-0200
3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990
Interoperability endpoints
- josburn1271211@epic00.corewelldirect.org
- josburn3146@lakeland.midirect.net
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Corewell Health Medical Group South
- Internal Medicine Physician
- Saint Joseph, MI
- NPI 1538397120
-
dba Corewell Health Medical Group South
- Internal Medicine Physician
- Bridgman, MI
- NPI 1568232247
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Corewell Health Watervliet Hospital
- General Acute Care Hospital
- Watervliet, MI
- NPI 1700994845
-
dba Corewell Health Lakeland Hospitals
- General Acute Care Hospital
- Saint Joseph, MI
- NPI 1134220031
-
dba Corewell Health Lakeland Hospitals St. Joseph Hospital
- Home Health Agency
- Benton Harbor, MI
- NPI 1912094525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1265468862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9625 RED ARROW HWY",
"city": "BRIDGMAN",
"state": "MI",
"postal_code": "491069559",
"telephone_number": "269-465-6050",
"fax_number": "269-465-3134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9625 RED ARROW HWY",
"city": "BRIDGMAN",
"state": "MI",
"postal_code": "491069559",
"telephone_number": "269-465-6050",
"fax_number": "269-465-3134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSBURN",
"first_name": "JONATHAN",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-24",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301074663",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PIN",
"identifier": "0801103552",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "80188668",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4418524",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bridgman, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.