Individual provider Active NPI

Lorene Brulez Dreisbach, DO

  • Obstetrics & Gynecology Physician
  • Holland, MI
National Provider Identifier
1366962664
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
5101023014 Issued in MI
Practice address
844 Washington Ave Ste 2700
Holland, MI 49423-7139
Phone
(616) 748-5785
NPI assigned
Jun 27, 2017
Last updated
Dec 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 5101023014 MI Primary

Addresses

Primary practice location

844 Washington Ave Ste 2700
Holland, MI 49423-7139

Mailing address

844 Washington Ave Ste 2700
Holland, MI 49423-7139

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
I20210825002144 MI Practitioner - Obstetrics/Gynecology 4082983861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Michigan State University College of Osteopathic Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holland Community HospitalGroup PAC ID 0446157291, 174 clinicians

Practice addresses (Care Compare)

844 Washington Ave
2700 Women's Specialty Care
Holland, MI 49423-7139
Phone (616) 748-5785

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Holland Community Hospital CurrentSince Oct 2, 2023 Accepting new patients
Holland Community Hospital Current Accepting new patients
Holland Community Hospital CurrentSince Oct 2, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Holland Community Hospital PastSince Oct 1, 2021 Accepting new patients
Holland Community Hospital Past Accepting new patients

Locations

415 Wiley Rd
Ste 102
Douglas, MI 49406
Phone (269) 857-3208

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

577 Michigan Ave
Ste 101
Holland, MI 49423
Phone (616) 393-2190

844 Washington Ave
Ste 2700
Holland, MI 49423
Phone (616) 355-3866

Interoperability endpoints

  • Direct secure messaging: lorene.dreisbach@holland.eclinicaldirectplus.com

Organizations & group practices 6

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": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1366962664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 WASHINGTON AVE STE 2700",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494237139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 WASHINGTON AVE STE 2700",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494237139",
            "telephone_number": "616-748-5785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREISBACH",
        "first_name": "LORENE",
        "middle_name": "BRULEZ",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-27",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "5101023014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

Verify at the official NPI Registry.