NPIMap

Organization Active NPI

Bamf Health Inc

  • Radiology Clinic/Center
  • Grand Rapids, MI
National Provider Identifier
1477289338
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
BAMF HEALTH INC
Practice address
109 Michigan St NW Ste 100
Grand Rapids, MI 49503-3790
Phone
(888) 987-5515
Fax
(616) 282-6678
NPI assigned
Jul 25, 2022
Last updated
Sep 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Authorized official

Name
Dr. Jeremiah Johns, MDNPI 1184786824
Title
Director
Phone
(616) 916-0774

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X
Multi-Specialty Clinic/Center 261QM1300X
Radiology Clinic/Center 261QR0200X Primary
Radiation Oncology Clinic/Center 261QX0203X

Addresses

Primary practice location

109 Michigan St NW Ste 100
Grand Rapids, MI 49503-3790

Mailing address

109 Michigan St NW Ste 100
Grand Rapids, MI 49503-3790
Phone (888) 987-5515

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221103001262 MI Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 5597132555 Practice locations: Grand Rapids, MI

National Provider Directory

National Provider Directory

Locations

109 Michigan St NW
Ste 100
Grand Rapids, MI 49503
Phone (888) 987-5515

Practitioners & affiliated clinicians

Practitioners 9

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": "1658707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662508800000",
    "number": "1477289338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 MICHIGAN ST NW STE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495033790",
            "telephone_number": "888-987-5515",
            "fax_number": "616-282-6678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 MICHIGAN ST NW STE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495033790",
            "telephone_number": "888-987-5515",
            "fax_number": "616-282-6678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAMF HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-25",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A",
        "authorized_official_last_name": "JOHNS",
        "authorized_official_first_name": "JEREMIAH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "616-916-0774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Sep 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.