Active NPI
Brendan Dewindt
- Physician Assistant
- Grand Rapids, MI
National Provider Identifier
1396653705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 1471 E Beltline Ave NE Ste 202
Grand Rapids, MI 49525-4548 - Phone
- (616) 410-7701
- NPI assigned
- Aug 28, 2026
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MI | Primary |
Addresses
Primary practice location
1471 E Beltline Ave NE Ste 202
Grand Rapids, MI 49525-4548
Mailing address
1784 Bristol RDG NW
Grand Rapids, MI 49544-7407
Phone (616) 554-2003
Other practice location 1
3380 44th St SW Ste 100
Grandville, MI 49418-2461
Phone (616) 410-7703
Other practice location 2
2006 Holton Rd Ste 500
Muskegon, MI 49445-1505
Phone (231) 370-1280
Other practice location 3
3570 Henry St Ste 130
Norton Shores, MI 49441-4576
Phone (231) 370-1286
Other practice location 4
1670 E Sherman Blvd Ste 100
Muskegon, MI 49444-1863
Phone (231) 672-3600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787875200000",
"number": "1396653705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1784 BRISTOL RDG NW",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495447407",
"telephone_number": "616-554-2003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1471 E BELTLINE AVE NE STE 202",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495254548",
"telephone_number": "616-410-7701"
}
],
"practiceLocations": [
{
"address_1": "3380 44th St SW Ste 100",
"address_purpose": "LOCATION",
"city": "Grandville",
"state": "MI",
"postal_code": "494182461",
"country_code": "US",
"telephone_number": "616-410-7703",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2006 Holton Rd Ste 500",
"address_purpose": "LOCATION",
"city": "Muskegon",
"state": "MI",
"postal_code": "494451505",
"country_code": "US",
"telephone_number": "231-370-1280",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3570 Henry St Ste 130",
"address_purpose": "LOCATION",
"city": "Norton Shores",
"state": "MI",
"postal_code": "494414576",
"country_code": "US",
"telephone_number": "231-370-1286",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1670 E Sherman Blvd Ste 100",
"address_purpose": "LOCATION",
"city": "Muskegon",
"state": "MI",
"postal_code": "494441863",
"country_code": "US",
"telephone_number": "231-672-3600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEWINDT",
"first_name": "BRENDAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-08-28",
"last_updated": "2026-08-28",
"certification_date": "2026-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.