Breastfeeding Support & Wellness PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

BREASTFEEDING SUPPORT & WELLNESS PC

Practice address

576 Romence Rd Ste 124
Portage, MI 49024-3436

Phone

(860) 205-1385

NPI assigned

Feb 24, 2021

Organization subpart

No

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

Authorized official

Name

Linda Dyer-Ertl

Title

Owner

Phone

(860) 205-1385

Specialties & licenses 1

Addresses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23669/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619136000000",
    "number": "1447844030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3734 BELLFLOWER DR",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490243970",
            "telephone_number": "860-205-1385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 ROMENCE RD STE 124",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490243436",
            "telephone_number": "860-205-1385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREASTFEEDING SUPPORT & WELLNESS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-24",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A",
        "authorized_official_last_name": "DYER-ERTL",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-205-1385"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Brady, MSW
• Scott Kent Brady, D.D.S.
• Rebecca Brancheau, LMT
• Angela Marie Brannen, FNP-C
• Daniel John Brayton, D.D.S.
• Autumn Bregg
• Lesa Brenner, LMSW
• Brennerhelp LLC
• Lana K Bretz, NP
• Brighter Path Counseling, PLLC

• Pediatrics Physician in Portage, MI
• Providers in Portage, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; 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.