Individual provider Active NPI

Brad Alan Irving, DO

  • Obstetrics & Gynecology Physician
  • Wyoming, MI
National Provider Identifier
1649491135
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
5101016639 Issued in MI
Practice address
2221 Health Dr SW Ste 2100
Wyoming, MI 49519-9650
Phone
(616) 252-4410
Fax
(616) 252-4480
NPI assigned
May 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 5101016639 MI Primary

Addresses

Primary practice location

2221 Health Dr SW Ste 2100
Wyoming, MI 49519-9650

Mailing address

2221 Health Dr SW
Suite 2100
Wyoming, MI 49519-9700
Phone (616) 532-5025

Other practice location 1

770 Kenmoor Ave SE
Grand Rapids, MI 49546-8621
Phone (616) 252-4410

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100115000635 MI Practitioner - Obstetrics/Gynecology 3971658253 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metropolitan HospitalGroup PAC ID 5597651836, 421 clinicians

Practice addresses (Care Compare)

2221 Health Dr SW
Suite 2100
Wyoming, MI 49519-9650
Phone (616) 252-4410

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Hospital Obstetrics & Gynecology CurrentSince May 1, 2017 Accepting new patients
Metropolitan Hospital CurrentSince May 1, 2017 Accepting new patients
AMC Mobile Anesthesia, PC Past Accepting new patients
Metropolitan Hospital Past Accepting new patients

Locations

3912 32nd Ave
Hudsonville, MI 49426
Phone (616) 252-8700

893 E Superior St
Wayland, MI 49348
Phone (616) 252-3400

781 36th St SE
Wyoming, MI 49548
Phone (616) 252-4100

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

2221 Health Dr SW
Ste 2100
Wyoming, MI 49519
Phone (616) 252-4410

5950 Metro Way SW
Wyoming, MI 49519
Phone (616) 252-8100

Interoperability endpoints

  • Direct secure messaging: birving1054@direct.metrohealth.net

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1649491135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 HEALTH DR SW",
            "address_2": "SUITE 2100",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495199700",
            "telephone_number": "616-532-5025",
            "fax_number": "616-532-6126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 HEALTH DR SW STE 2100",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495199650",
            "telephone_number": "616-252-4410",
            "fax_number": "616-252-4480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "770 Kenmoor Ave SE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495468621",
            "country_code": "US",
            "telephone_number": "616-252-4410",
            "fax_number": "616-247-4787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IRVING",
        "first_name": "BRAD",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "5101016639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyoming, MI

Sources for this page

Verify at the official NPI Registry.