Bradley D Bastow, D.O.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

5101008849 Issued in MI

Practice address

950 Blue Star Hwy
Suite 1-2
South Haven, MI 49090-7759

Phone

(269) 637-1388

Fax

(269) 637-1459

NPI assigned

Nov 9, 2005

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

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.

• Card Prop Corp

  • Cardiovascular Disease Physician
  • South Haven, MI
  • NPI 1740559871
  NPD (past) Authorized official
• Cardiology II, P.C.

  • Cardiovascular Disease Physician
  • South Haven, MI
  • NPI 1861571747
  NPD (past) Authorized official
• Niles Professional Services, Inc

  • Internal Medicine Physician
  • Niles, MI
  • NPI 1568407930
  NPD (past)
• Universall Home Health Care, LLC.,

  • Home Health Agency
  • South Haven, MI
  • NPI 1356586531

  Cardiovascular Disease

  NPD (past)
• Ozarks Medical Center

  dba Ozarks Healthcare

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1346221082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 BLUE STAR HWY",
            "address_2": "SUITE 1-2",
            "city": "SOUTH HAVEN",
            "state": "MI",
            "postal_code": "490907759",
            "telephone_number": "269-637-1388",
            "fax_number": "269-637-1459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 BLUE STAR HWY",
            "address_2": "SUITE 1-2",
            "city": "SOUTH HAVEN",
            "state": "MI",
            "postal_code": "490907759",
            "telephone_number": "269-637-1388",
            "fax_number": "269-637-1459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASTOW",
        "first_name": "BRADLEY",
        "middle_name": "D",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "5101008849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3449722",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Banner
• Jamie Barnett
• Katrina Nichole Barrett, FNP-C
• Norman Keith Bartmess, PHARMD
• Linda Barton, LMSW
• Wendy Beam
• Dawn Rachelle Beckwith, CPHT
• Rebecca A. Bennett, LLPC
• Randy J Bergsma, PHARM.D
• Beyond the Spine Chiropractic & Massage PLLC

• Cardiovascular Disease Physician in South Haven, MI
• Providers in South Haven, MI by specialty
• Cardiovascular Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.