Individual provider Active NPI

Grace Antonia Breuer, M.D.

  • Family Medicine Physician
  • Traverse City, MI
National Provider Identifier
1699331199
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301512088 Issued in MI
Practice address
921 W Front St
Traverse City, MI 49684-2327
Phone
(319) 384-7222
Fax
(319) 384-7822
NPI assigned
May 10, 2019
Last updated
Dec 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301512088 MI Primary
Psychiatry Physician 2084P0800X 4301512088 MI

Addresses

Primary practice location

921 W Front St
Traverse City, MI 49684-2327

Mailing address

1619 13TH St
Coralville, IA 52241-1309
Phone (989) 513-3380

Other practice location 1

1105 Sixth St Ste D6
Traverse City, MI 49684-2345
Phone (231) 935-6380

Other practice location 2

921 W Front St
Traverse City, MI 49684-2327
Phone (312) 520-0682

Other practice location 3

4230 Copper Ridge Dr
Traverse City, MI 49684-7256
Phone (800) 662-6766

Other names 1

  • Grace Antonia Davis Former name

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
I20241212001772 MI Practitioner - General PracticePractitioner - Psychiatry 8325374986 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Psychiatry
Education
Central Michigan College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Munson Medical CenterGroup PAC ID 3072426287, shared by 12 NPIs, 377 clinicians
Munson Medical GroupGroup PAC ID 8820277015, 191 clinicians

Practice addresses (Care Compare)

4230 Copper Ridge Dr
Traverse City, MI 49684-7256

921 W Front St
Traverse City, MI 49684-2327
Phone (231) 252-0068

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.92
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301512088MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Medical Center Current Accepting new patients
Munson Medical Group CurrentSince Oct 4, 2024 Accepting new patients
Munson Medical Center CurrentSince Oct 4, 2024 Accepting new patients
Munson Medical Center CurrentSince Oct 4, 2024 Accepting new patients
Munson Healthcare Cadillac Psychiatry CurrentSince Jan 1, 2026 Accepting new patients
Munson Medical Group Family Medicine CurrentSince Oct 4, 2024 Accepting new patients
Munson Medical Group Current Accepting new patients
Munson Medical Center CurrentSince Oct 4, 2024 Accepting new patients
Floyd County Memorial Hospital Commission Family Medicine Past Accepting new patients
Munson Medical Center Family Medicine Past Accepting new patients

Locations

2513 Momentum Pl
Chicago, IL 60689
Phone (231) 935-8031

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

1105 Sixth St
Ste D6
Traverse City, MI 49684
Phone (231) 935-6380

1110 Sixth St
Traverse City, MI 49684
Phone (231) 392-8400

1200 Sixth St
Ste 200
Traverse City, MI 49684

1400 Medical Campus Dr
Traverse City, MI 49684
Phone (231) 935-8000

4230 Copper Ridge Dr
Traverse City, MI 49684
Phone (231) 935-6380

921 W Front St
Traverse City, MI 49684
Phone (231) 252-0068

Organizations & group practices 11

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.

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": "1557446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1699331199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 13TH ST",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522411309",
            "telephone_number": "989-513-3380",
            "fax_number": "989-513-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 W FRONT ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842327",
            "telephone_number": "319-384-7222",
            "fax_number": "319-384-7822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1105 Sixth St Ste D6",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496842345",
            "country_code": "US",
            "telephone_number": "231-935-6380",
            "fax_number": "231-935-6920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "921 W Front St",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496842327",
            "country_code": "US",
            "telephone_number": "312-520-0682",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4230 Copper Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496847256",
            "country_code": "US",
            "telephone_number": "800-662-6766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREUER",
        "first_name": "GRACE",
        "middle_name": "ANTONIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-10",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301512088",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301512088",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRACE",
            "last_name": "DAVIS",
            "middle_name": "ANTONIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.