Active NPI
Bronson Practice Management
- Physician Assistant
- Kalamazoo, MI
National Provider Identifier
1487728978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Legal business name
- BRONSON PRACTICE MANAGEMENT
- Practice address
- 601 John St
Box 42
Kalamazoo, MI 49007-5341 - Phone
- (269) 341-7654
- Fax
- (269) 341-8743
- NPI assigned
- Nov 17, 2006
- Organization subpart
- Yes
- Parent organization
- BRONSON PRACTICE MANAGEMENT
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James B Falahee Jr.
- Title
- SVP Legal Affairs, C
- Phone
- (269) 341-6000
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary | ||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
601 John St
Box 42
Kalamazoo, MI 49007-5341
Mailing address
601 John St
Box 42
Kalamazoo, MI 49007-5341
Phone (269) 341-8419
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080C910950 | Other | MI | BCBSM |
Other names 1
- Bronson FastCare
National Provider Directory
National Provider Directory- Part of
- Borg Research Inc
Locations
5121 S Westnedge Ave
Portage, MI 49002
Phone (269) 337-2110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1406160000000",
"number": "1487728978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 JOHN ST",
"address_2": "BOX 42",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490075341",
"telephone_number": "269-341-8419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 JOHN ST",
"address_2": "BOX 42",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490075341",
"telephone_number": "269-341-7654",
"fax_number": "269-341-8743"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRONSON PRACTICE MANAGEMENT",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BRONSON PRACTICE MANAGEMENT",
"enumeration_date": "2006-11-17",
"last_updated": "2014-07-24",
"status": "A",
"authorized_official_last_name": "FALAHEE",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "SVP LEGAL AFFAIRS, C",
"authorized_official_telephone_number": "269-341-6000",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "080C910950",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Bronson FastCare",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.