Braden Daniel Engstrom

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

4301514724 Issued in MI

Practice address

2917 Port Sheldon St
Hudsonville, MI 49426-9314

Phone

(616) 252-5437

Fax

(616) 252-5490

NPI assigned

Apr 26, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, MI2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Metropolitan Hospital

  • Internal Medicine Physician
  • Wyoming, MI
  • NPI 1811937519
  Medicare reassignment NPD
• Friend Family Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1578560090
  Medicare reassignment NPD
• Friend Family Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1477175305
  NPD
• Friend Family Health Center, Inc

  • Community Health Worker
  • Chicago, IL
  • NPI 1215394895
  NPD
• Metropolitan Hospital

  • General Acute Care Hospital
  • Wyoming, MI
  • NPI 1619923919
  NPD (past)

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

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1649852971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2917 PORT SHELDON ST",
            "city": "HUDSONVILLE",
            "state": "MI",
            "postal_code": "494269314",
            "telephone_number": "616-252-5437",
            "fax_number": "616-252-5490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2917 PORT SHELDON ST",
            "city": "HUDSONVILLE",
            "state": "MI",
            "postal_code": "494269314",
            "telephone_number": "616-252-5437",
            "fax_number": "616-252-5490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGSTROM",
        "first_name": "BRADEN",
        "middle_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-26",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301514724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley Alan Dykstra, DDS
• John Dykstra, DO
• Early Foundations Speech and Feeding Services
• Jennifer A Edwards, PT
• Nicholas English
• Jenna Essenburg, DC, ATC
• William Evans, LPC
• Kristin L Faber, LMSW
• Faded Jeans Therapy, PLLC
• Amanda Falkena, PT

• Pediatrics Physician in Hudsonville, MI
• Providers in Hudsonville, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.