Organization Active NPI

Macfield Pediatrics and Family Medicine PC

Doing business as Breton Village Pediatrics And Family Medicine PC

  • Pediatrics Physician
  • Grand Rapids, MI
National Provider Identifier
1447684857
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301084408 Issued in MI
Legal business name
MACFIELD PEDIATRICS AND FAMILY MEDICINE PC
Doing business as
Breton Village Pediatrics And Family Medicine PC
Practice address
2460 Burton St SE
Grand Rapids, MI 49546-4800
Phone
(616) 295-5760
NPI assigned
Aug 21, 2013
Last updated
Aug 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Authorized official

Name
Dr. Masuma F Macfield, M.D.NPI 1821208547
Title
Pediatrician
Phone
(616) 724-4972

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 8305045032 MI
Pediatrics Physician 208000000X 4301084408 MI Primary

Addresses

Primary practice location

2460 Burton St SE
Grand Rapids, MI 49546-4800

Mailing address

4770 Blackberry CT NE
4770 Blackberry CT NE
Grand Rapids, MI 49525-9495
Phone (616) 724-4972

Other names 1

  • Breton Village Pediatrics And Family Medicine PC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140418000211 MI Part B Supplier - Clinic/Group Practice 2163654476 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
Practice locations: Grand Rapids, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2080933Breton Village Pediatrics & Family Medicine2460 Burton Street SE, Suite 300, Grand Rapids, MI 49546Certificate of waiverJul 15, 2028

National Provider Directory

National Provider Directory

Locations

2460 Burton St SE
Grand Rapids, MI 49546
Phone (616) 278-1201

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7807/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785801600000",
    "number": "1447684857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4770 BLACKBERRY CT NE",
            "address_2": "4770 BLACKBERRY CT NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259495",
            "telephone_number": "616-724-4972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 BURTON ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495464800",
            "telephone_number": "616-295-5760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACFIELD PEDIATRICS AND FAMILY MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-21",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A",
        "authorized_official_last_name": "MACFIELD",
        "authorized_official_first_name": "MASUMA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "616-724-4972",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "8305045032",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301084408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Breton Village Pediatrics And Family Medicine PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.