B Kent Maupin MD PC

Primary specialty

Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X

License

4301043303 Issued in MI

Legal business name

B KENT MAUPIN MD PC

Practice address

1001 Medical Park Dr SE
Suite 211
Grand Rapids, MI 49546-3610

Phone

(616) 954-0094

Fax

(616) 954-9871

NPI assigned

Aug 2, 2006

Organization subpart

No

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

Authorized official

Name

Bernard Kent Maupin, M.D.

Title

Owner/President

Phone

(616) 954-0094

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386651487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 MEDICAL PARK DR SE",
            "address_2": "SUITE 211",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463610",
            "telephone_number": "616-954-0094",
            "fax_number": "616-954-9871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 MEDICAL PARK DR SE",
            "address_2": "SUITE 211",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463610",
            "telephone_number": "616-954-0094",
            "fax_number": "616-954-9871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B KENT MAUPIN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAUPIN",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "616-954-0094",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "MI",
            "license": "4301043303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1194783936",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "2004100952",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3152810",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nathan Baar, MHA, BSN, RN, CEN
• Sarah Baar, CCC-SLP

• Orthopaedic Hand Surgery Physician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Orthopaedic Hand Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.