Active NPI
Bruce A Langerak, D.O.
- Internal Medicine Physician
- Grand Rapids, MI
National Provider Identifier
1467569475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 5101013735
- Practice address
- 1000 East Paris Ave SE Ste 100
Grand Rapids, MI 49546 - Phone
- (616) 459-3158
- Fax
- (616) 988-0071
- NPI assigned
- Aug 24, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 5101013735 | MI | Primary |
Addresses
Primary practice location
1000 East Paris Ave SE Ste 100
Grand Rapids, MI 49546
Mailing address
1000 East Paris Ave SE Ste 100
Grand Rapids, MI 49546-3680
Phone (616) 459-3158
Other practice location 1
2093 Health Dr SW Ste 200
Wyoming, MI 49519-9691
Phone (616) 459-3158
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154102825 | Other | MI | BCBS OF MICHIGAN |
| 4402177 | Medicaid | MI |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Michigan State University College of Osteopathic Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Center for Physical Rehabilitation Inc
Practice addresses (Care Compare)
1000 E Paris Ave SE
Suite 100
Grand Rapids, MI 49546-3680
Phone (616) 459-3158
5060 Cascade Rd
Suite a
Grand Rapids, MI 49546-3808
5060 Cascade Rd SE
Suite a
Grand Rapids, MI 49546-3808
Hospital & facility affiliations
- Mary Free Bed at Home, LLC
- Spectrum Health
- University of Michigan Health - West
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 15 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grand Valley Medical Specialists PLC | Internal Medicine | Current | Accepting new patients |
Locations
1000 East Paris Ave SE
Ste 100
Grand Rapids, MI 49546
Phone (616) 459-3158
1900 Wealthy St SE
Ste 150
Grand Rapids, MI 49506
Phone (616) 459-3158
2093 Health Dr SW
Ste 200
Wyoming, MI 49519
Phone (616) 459-3158
Interoperability endpoints
- brucelangerak@gvmsplc.allscriptsdirect.net
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1033226402
-
- Physical Therapy Clinic/Center
- Grand Rapids, MI
- NPI 1902288863
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Grand Rapids, MI
- NPI 1023477478
-
- General Acute Care Hospital
- Wyoming, MI
- NPI 1619923919
-
- Critical Access Hospital
- Hastings, MI
- NPI 1932695525
-
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1922090554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674777600000",
"number": "1467569475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 EAST PARIS AVE SE STE 100",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495463680",
"telephone_number": "616-459-3158",
"fax_number": "616-988-0071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 EAST PARIS AVE SE STE 100",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "49546",
"telephone_number": "616-459-3158",
"fax_number": "616-988-0071"
}
],
"practiceLocations": [
{
"address_1": "2093 Health Dr SW Ste 200",
"address_purpose": "LOCATION",
"city": "Wyoming",
"state": "MI",
"postal_code": "495199691",
"country_code": "US",
"telephone_number": "616-459-3158",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LANGERAK",
"first_name": "BRUCE",
"middle_name": "A",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-24",
"last_updated": "2023-01-27",
"certification_date": "2023-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "5101013735",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MICHIGAN",
"identifier": "1154102825",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4402177",
"state": "MI"
}
],
"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 Jan 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.