Beaumont Medical Group- Specialty Services
Organization Active NPI Internal Medicine Physician · Trenton, MI
NPI 1629940705 · NPPES record last updated Sep 19, 2025
Key facts
- NPI
- 1629940705
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- BEAUMONT MEDICAL GROUP- SPECIALTY SERVICES
- Practice address
- 5452 Fort St
Trenton, MI 48183-4637 - Phone
- (616) 486-6790
- NPI assigned
- Sep 19, 2025
- Organization subpart
- No
Authorized official
- Name
- Matthew E Cox
- Title
- Cfo
- Phone
- (616) 295-4264
Corporate family (same tax ID) 12
National Provider Directory
- Tax ID family
- Beaumont Medical Group- Specialty Services
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
5452 Fort St
Trenton, MI 48183-4637
Mailing address
100 Michigan St NE
Grand Rapids, MI 49503-2560
Other providers in Trenton, MI
- John C Baumann
- Faith Renee Baxter
- Bayview Pharmacy Inc
- Erica Ann Beaker
- Lloyd J. Beaudry
- Beaumont Medical Group- Specialty Services
- Sherri Roquel Beaver
- Robert Valde Belleza
- Habeeb A Bello
- Ben Go M.D. P.C.
All providers in Trenton, MI · Internal Medicine 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 Sep 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.