Individual provider Active NPI

Jeremy Browning Vandenberg, M.D.

  • Anesthesiology Physician
  • Grand Rapids, MI
National Provider Identifier
1497908040
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
4301086201 Issued in MI
Practice address
3333 Evergreen Dr NE
Grand Rapids, MI 49525-9493
Phone
(616) 364-4200
Fax
(616) 364-7347
NPI assigned
Oct 28, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 4301086201 MI Primary
Anesthesiology Physician 207L00000X C4687 KY

Addresses

Primary practice location

3333 Evergreen Dr NE
Grand Rapids, MI 49525-9493

Mailing address

3333 Evergreen Dr NE
Grand Rapids, MI 49525-9493
Phone (616) 364-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, KY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090811000394 MI Practitioner - Anesthesiology 8224182290 Reassigns benefits to 12 organizations
I20251120004128 KY Practitioner - Anesthesiology 8224182290 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Michigan Anesthesia PCGroup PAC ID 1355243551, 69 clinicians
Professional Anesthesia Services of Kentucky PLLCGroup PAC ID 0244590305, 351 clinicians
Mymichigan Medical Center MidlandGroup PAC ID 2264323633, 507 clinicians
Anesthesia Medical Consultants, PCGroup PAC ID 3678751658, 87 clinicians
Sparrow Carson HospitalGroup PAC ID 7113836701, 63 clinicians

Practice addresses (Care Compare)

100 Michigan Ave NE
Grand Rapids, MI 49503-2560
Phone (616) 391-9000

200 E Chestnut St
Louisville, KY 40202-1831
Phone (502) 629-8000

4000 Kresge Way
Louisville, KY 40207-4605
Phone (502) 897-8100

4000 Wellness Dr
Midland, MI 48670-2000
Phone (989) 839-3000

4055 Cascade Rd SE
Metro Health Park East Outpatient Surgical
Grand Rapids, MI 49546-2149
Phone (616) 364-4200

406 E Elm St
Carson City, MI 48811-9693
Phone (517) 584-3131

5900 Byron Ctr Ave SW
Metro Health Hospital
Wyoming, MI 49519-9606
Phone (616) 364-4200

80 68TH St SE
Spectrum Health South Pavilion
Grand Rapids, MI 49548-6980
Phone (616) 391-8220

Hospital & facility affiliations

  • Baptist Health Louisville Hospital, Louisville, KY, CCN 180130
  • University of Michigan Health - West Hospital, Wyoming, MI, CCN 230236

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C4687KYMDAnesthesiology Physician
4301086201MIMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sparrow Carson Hospital Current Accepting new patients
Edward W. Sparrow Hospital Association Anesthesiology CurrentSince Mar 1, 2025 Accepting new patients
West Michigan Anesthesia, PC Anesthesiology CurrentSince Aug 14, 2009 Accepting new patients
Sparrow Carson Hospital Anesthesiology CurrentSince Mar 1, 2025 Accepting new patients
Sparrow Carson Hospital CurrentSince Mar 1, 2025 Accepting new patients
AMC Mobile Anesthesia, PC Anesthesiology CurrentSince Feb 1, 2015 Accepting new patients
Professional Anesthesia Services of Kentucky PLLC Anesthesiology CurrentSince Oct 2, 2025 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Mar 1, 2025 Accepting new patients
Anesthesia Medical Consultants, PC Anesthesiology CurrentSince Jul 1, 2011 Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

406 E Elm St
Carson City, MI 48811
Phone (517) 584-3131

321 E Harris St
Charlotte, MI 48813
Phone (517) 541-5840

100 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 391-1680

4055 Cascade Rd SE
Grand Rapids, MI 49546
Phone (616) 252-4410

3333 Evergreen Dr NE
Grand Rapids, MI 49525
Phone (616) 284-3132

3333 Evergreen Dr NE
Ste 100
Grand Rapids, MI 49525

3565 S State Rd
Ionia, MI 48846
Phone (616) 523-1355

80 68th St SE
Kentwood, MI 49548
Phone (616) 391-8220

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

805 S Oakland St
Saint Johns, MI 48879
Phone (989) 224-6881

5900 Byron Center Ave SW
Wyoming, MI 49519
Phone (616) 252-3243

Organizations & group practices 28

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.

View all 28

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1497908040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 EVERGREEN DR NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259493",
            "telephone_number": "616-364-4200",
            "fax_number": "616-364-7347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 EVERGREEN DR NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259493",
            "telephone_number": "616-364-4200",
            "fax_number": "616-364-7347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDENBERG",
        "first_name": "JEREMY",
        "middle_name": "BROWNING",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-28",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "4301086201",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "KY",
            "license": "C4687",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.