Brandon J Churchman, PA-C, DDS

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5691005799 Issued in MI

Practice address

3737 Lake Eastbrook Blvd SE Ste 212
Grand Rapids, MI 49546-5989

Phone

(616) 258-1473

NPI assigned

Jul 5, 2008

Last updated

Jan 5, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ecs Western Michigan PCGroup PAC ID 8628327384, 202 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ecs Western Michigan PC

  • Emergency Medicine Physician
  • Grand Rapids, MI
  • NPI 1992281000
  Medicare reassignment Care Compare group NPD
• Munising Memorial Hospital Association

  dba Bay Care Medical Center

  • Family Medicine Physician
  • Munising, MI
  • NPI 1629120415

  Medical

  Medicare reassignment NPD
• Ymc Health

  • Dental Clinic/Center
  • Grand Rapids, MI
  • NPI 1659251585
  NPD Authorized official
• Epmg of Michigan, P.C.

  • Emergency Medicine Physician
  • Livonia, MI
  • NPI 1386688992
  Medicare reassignment
• Portage Hospital LLC

  dba UP Health System Portage

  • General Acute Care Hospital
  • Hancock, MI
  • NPI 1245667229
  Medicare reassignment
• Portage Physician Practices Inc

  • Internal Medicine Physician
  • Hancock, MI
  • NPI 1225461684
  Medicare reassignment
• Sparrow Clinton Hospital

  dba University of Michigan Health-Sparrow Clinton Hospital Emergency Depar

  • Emergency Medicine Physician
  • Saint Johns, MI
  • NPI 1396827952
  Medicare reassignment
• Sparrow Ionia Hospital

  dba University of Michigan Health-Sparrow Ionia

  • Critical Access Hospital
  • Ionia, MI
  • NPI 1700820065
  Medicare reassignment
• Springfield Urgent Care, P.L.L.C.

  • Urgent Care Clinic/Center
  • Clarkston, MI
  • NPI 1144747460
  Medicare reassignment
• Theoria Medical

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1609362375
  Medicare reassignment
• Visionary Medical Services PC

  • Emergency Medicine Physician
  • Grand Rapids, MI
  • NPI 1538216569
  Medicare reassignment
• Portage Hospital LLC

  dba UP Health System Portage

  • Durable Medical Equipment & Medical Supplies
  • Hancock, MI
  • NPI 1710314547
  NPD

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

{
    "created_epoch": "1215216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1548423015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 EMBASSY DR SE STE 400",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462416",
            "telephone_number": "616-975-1845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 LAKE EASTBROOK BLVD SE STE 212",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495465989",
            "telephone_number": "616-258-1473"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1840 Wealthy St SE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495062921",
            "country_code": "US",
            "telephone_number": "616-391-1730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHURCHMAN",
        "first_name": "BRANDON",
        "middle_name": "J",
        "credential": "PA-C, DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-05",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5691005799",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901022201",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David B Chuol
• Caitlyn Marie Chupp
• Emily Ann Churchard, MPH, QIDP
• Alyssa Ashley Churchill, D.O.
• Kevin Frederick Churchill, DPT
• Louis Ciaramello
• Rachel Ciaramello, PHARMD
• Victoria Susan Ciavaglia, DPT
• Anina L Cicerone-Carder, PA-C
• Marcos Cid, D.D.S. M.S.

• Physician Assistant in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.