Benjamin J Bruinsma, M.D.
Individual provider Active NPI Physical Medicine & Rehabilitation Physician · Grand Rapids, MI
NPI 1508804154 · NPPES record last updated Nov 21, 2025
Key facts
- NPI
- 1508804154
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Medicine & Rehabilitation Physician 208100000X
- License
- 4301405949 (MI)
- Practice address
- 235 Wealthy St SE Ste 100
Grand Rapids, MI 49503-5229 - Phone
- (616) 840-8224
- Fax
- (616) 840-9640
- NPI assigned
- Jun 4, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Physical Medicine and Rehabilitation
- Education
- Wayne State University School of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mary Free Bed Rehabilitation Hospital
Practice addresses (Care Compare)
235 Wealthy St SE
100 Mary Free Bed Med GP
Grand Rapids, MI 49503-5229
Phone (616) 242-0422
Hospital & facility affiliations
- Mercy Health Saint Mary'S
- Spectrum Health
- University of Michigan Health - West
- Bronson Methodist Hospital
- Mary Free Bed Rehabilitation Hospital
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 |
|---|---|---|---|---|
| I20091015000337 | MI | Practitioner - Physical Medicine and Rehabilitation | 6507913928 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301405949 | MI | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Free Bed Rehabilitation Hospital | Current |
Accepting new patients | |
| Rehabilitation & Physical Medicine Specialists, P.C. | Physical Medicine & Rehabilitation | Past |
Accepting new patients |
Locations
235 Wealthy St SE
Ste 100
Grand Rapids, MI 49503
Phone (616) 493-9724
350 Lafayette Ave SE
Ste 301
Grand Rapids, MI 49503
Phone (616) 459-0801
235 Wealthy St SE
Grand Rapids, MI 49503
Phone (616) 242-0422
Interoperability endpoints
- bbruinsma40701@direct.trinity-health.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 4301405949 | MI | Yes |
Addresses
Primary practice location
235 Wealthy St SE Ste 100
Grand Rapids, MI 49503-5229
Mailing address
235 Wealthy St SE Ste 100
Grand Rapids, MI 49503-5229
Phone (616) 840-8224
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bbruinsma90190@direct.covenanthealthcare.com |
Other providers in Grand Rapids, MI
- Alec Ethan Bruchnak
- James Bruggink
- Shannon Bruin
- Stefanie Bruinooge
- Anna E Bruins-Campbell
- Chelsea Diane Bruinsma
- John David Bruinsma
- Caitlin Brummel
- Katrina Ann Brummel
- Rebecca Marie Brummel
All providers in Grand Rapids, MI · Physical Medicine & Rehabilitation 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 Nov 21, 2025. 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.