Brian D Heeringa, MD
Individual provider Active NPI Surgery Physician · Traverse City, MI
NPI 1497789010 · NPPES record last updated Dec 21, 2020
Key facts
- NPI
- 1497789010
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- BH076613 (MI)
- Practice address
- 880 Munson Ave
Suite a
Traverse City, MI 49686-3661 - Phone
- (231) 946-1488
- Fax
- (231) 946-1489
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Brian D Heeringa PC
Practice addresses (Care Compare)
321 Long Rapids PLZ
Alpena, MI 49707-1375
Phone (231) 946-1488
440 Cobb St
Cadillac, MI 49601-2542
Phone (231) 946-1488
880 Munson Ave
Suite a
Traverse City, MI 49686-3661
Phone (231) 946-1488
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 259 |
| Removal of tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050812000658 | MI | Practitioner - General Surgery |
1759311475 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BH076613 | MI | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Munson Healthcare Grayling | Current | Accepting new patients | |
| Munson Healthcare Charlevoix Hospital | Current |
Accepting new patients | |
| Kalkaska Memorial Health Center | Surgery | Current |
Accepting new patients |
| Brian D. Heeringa PC | Surgery | Current |
Accepting new patients |
| Munson Healthcare Charlevoix Hospital | Current |
Accepting new patients | |
| Munson Healthcare Charlevoix Hospital | Current | Accepting new patients | |
| Munson Healthcare Grayling | Current |
Accepting new patients | |
| Munson Healthcare Grayling | Surgery | Current |
Accepting new patients |
| Kalkaska Memorial Health Center | Surgery | Current | Accepting new patients |
| Kalkaska Memorial Health Center | Current |
Accepting new patients | |
| Kalkaska Memorial Health Center | Surgery | Past | Accepting new patients |
Locations
3781 Momentum Pl
Chicago, IL 60689
321 Long Rapids Plz
Alpena, MI 49707
Phone (989) 354-3309
440 Cobb St
Cadillac, MI 49601
Phone (231) 642-5031
14700 Lake Shore Dr
Charlevoix, MI 49720
Phone (231) 547-3840
1010 W North Down River Rd
Grayling, MI 49738
Phone (989) 348-0800
1250 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0550
419 S Coral St
Kalkaska, MI 49646
Phone (231) 258-7500
880 Munson Ave
Ste A
Traverse City, MI 49686
Phone (231) 294-6148
Interoperability endpoints
- bheeringa@direct.mhc.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | BH076613 | MI | Yes |
Addresses
Primary practice location
880 Munson Ave
Suite a
Traverse City, MI 49686-3661
Mailing address
880 Munson Ave
Suite a
Traverse City, MI 49686-3661
Phone (231) 946-1488
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4759050 | Medicaid | MI | |
| 020H310060 | Other | BLUE CROSS |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bheeringa@direct.mhc.net |
Other providers in Traverse City, MI
- Shannon Lynn Heck-White
- Zachary Hector-Word
- Heeren Family Therapy
- Allison B Heeren
- Roy Charles Heeren
- Kimberly A Hegewald
- Montgomery John Hegewald
- Sarah Paulina Hegg
- Robin A Heiges
- Joseph M Heiler
All providers in Traverse City, MI · Surgery Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 21, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.