Individual provider Active NPI

Bret Gregory Autrey, D.O.

  • Surgery Physician
  • Ludington, MI
National Provider Identifier
1316963374
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
5101014946 Issued in MI
Practice address
7 Atkinson Dr Ste 200
Ludington, MI 49431-1917
Phone
(231) 843-3717
NPI assigned
Jul 14, 2006
Last updated
Mar 10, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 5101014946 MI Primary

Addresses

Primary practice location

7 Atkinson Dr Ste 200
Ludington, MI 49431-1917

Mailing address

100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address bautrey6910@epic00.shdirect.org
FHIR URL https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060823000430 MI Practitioner - General Practice 6608879192 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Kansas City University of Physicians and Surgeons, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Atkinson Dr
Ludington, MI 49431-1906
Phone (231) 843-2591

100 Michigan Ave NE
Grand Rapids, MI 49503-2560

100 Michigan Nest
MC60
Grand Rapids, MI 49503-2560

212 S Sullivan Ave
Corewell Health Gerber Hospital
Fremont, MI 49412-1548
Phone (231) 924-1212

7 Atkinson Dr
Ludington, MI 49431-1953

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy93
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux79
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Newaygo County General Hospital Association CurrentSince May 20, 2024 Accepting new patients
Memorial Medical Center of West Michigan CurrentSince Feb 1, 2016 Accepting new patients
Mecosta County Medical Center CurrentSince May 20, 2024 Accepting new patients
Mecosta County Medical Center CurrentSince May 20, 2024 Accepting new patients
Mecosta County Medical Center Current Accepting new patients
Newaygo County General Hospital Association CurrentSince May 20, 2024 Accepting new patients
Memorial Medical Center of West Michigan CurrentSince Feb 1, 2016 Accepting new patients
Spectrum Health Primary Care Partners Past Accepting new patients
Grant Medical Center PastSince Apr 1, 2020 Accepting new patients

Locations

605 Oak St
Big Rapids, MI 49307
Phone (231) 592-1079

212 S Sullivan Ave
Fremont, MI 49412
Phone (231) 924-1212

100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242

1 Atkinson Dr
Ludington, MI 49431
Phone (231) 843-2591

5 Atkinson Dr
Ste 205
Ludington, MI 49431
Phone (231) 843-3717

7 Atkinson Dr
Ludington, MI 49431
Phone (231) 843-3487

7 Atkinson Dr
Ste 112
Ludington, MI 49431
Phone (231) 843-3717

7 Atkinson Dr
Ste 200
Ludington, MI 49431
Phone (231) 843-2664

7 Atkinson Dr
Ste 205
Ludington, MI 49431
Phone (231) 843-3487

Interoperability endpoints

  • Direct secure messaging: bautrey6910@epic00.corewelldirect.org
  • Direct secure messaging: bautrey6910@epic00.shdirect.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1316963374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE # MC845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 ATKINSON DR STE 200",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494311917",
            "telephone_number": "231-843-3717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUTREY",
        "first_name": "BRET",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "5101014946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bautrey6910@epic00.shdirect.org",
            "affiliation": "N",
            "address_1": "7 Atkinson Dr Ste 200",
            "city": "Ludington",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494311917",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "7 Atkinson Dr Ste 200",
            "city": "Ludington",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494311917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ludington, MI

Sources for this page

Verify at the official NPI Registry.