Active NPI
David W Lowry, M.D.
- Neurological Surgery Physician
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 4301075621
- Practice address
- 3350 Eagle Park Dr NE Ste 102
Grand Rapids, MI 49525-4570 - Phone
- (616) 454-3465
- Fax
- (616) 454-0954
- NPI assigned
- Oct 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 4301075621 | MI | Primary |
Addresses
Primary practice location
3350 Eagle Park Dr NE Ste 102
Grand Rapids, MI 49525-4570
Mailing address
3350 Eagle Park Dr NE Ste 102
Grand Rapids, MI 49525-4570
Phone (616) 454-3465
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DL075621 | Other | MI | STATE LICENSE |
| ST003962 | Other | MI | STATE LICENSE# |
| 1407010792 | Other | MI | BXMI |
| 104721043 | Medicaid | MI |
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- Johns Hopkins University School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3350 Eagle Park Dr NE
Suite 102
Grand Rapids, MI 49525-4570
Phone (616) 454-3465
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 88 |
| Laminectomy or laminotomy (partial removal of spine bones) | 24 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Lakes Neurosurgical Associates, PC | Current | Accepting new patients |
Locations
3350 Eagle Park Dr NE
Ste 102
Grand Rapids, MI 49525
Phone (616) 242-7042
3299 N Wellness Dr
Ste 240
Holland, MI 49424
Phone (616) 454-7910
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JFBHBD/Endpoint/JFBHBD
- david.lowry@tbsc.eclinicaldirectplus.com
Organizations & group practices 2
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.
-
- Neurological Surgery Physician
- Grand Rapids, MI
- NPI 1366590929
-
- Durable Medical Equipment & Medical Supplies
- Grand Rapids, MI
- NPI 1306366810
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Holland, MI
- NPI 1871672618
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787184000000",
"number": "1578650123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3350 EAGLE PARK DR NE STE 102",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495254570",
"telephone_number": "616-454-3465",
"fax_number": "616-454-0954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3350 EAGLE PARK DR NE STE 102",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495254570",
"telephone_number": "616-454-3465",
"fax_number": "616-454-0954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOWRY",
"first_name": "DAVID",
"middle_name": "W",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-06",
"last_updated": "2026-08-20",
"certification_date": "2026-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "MI",
"license": "4301075621",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "DL075621",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE#",
"identifier": "ST003962",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BXMI",
"identifier": "1407010792",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104721043",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.