Individual provider Active NPI

Pamela D Parker, M.D.

  • Obstetrics & Gynecology Physician
  • Kalamazoo, MI
National Provider Identifier
1740234616
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301089428 Issued in MI
Practice address
2854 S 11TH St
Kalamazoo, MI 49009-2129
Phone
(269) 345-6197
NPI assigned
May 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4301089428 MI Primary
Obstetrics & Gynecology Physician 207V00000X S2138 TX
Obstetrics & Gynecology Physician 207V00000X 32169 AZ

Addresses

Primary practice location

2854 S 11TH St
Kalamazoo, MI 49009-2129

Mailing address

2854 S 11TH St
Kalamazoo, MI 49009-2129

Other practice location 1

11 S Paca St Ste 400
Baltimore, MD 21201-1748
Phone (410) 328-5964

Other identifiers 3

IdentifierTypeStateIssuer
H08LH44101OtherTXBCBS-TX
3995805-01MedicaidTX
32169OtherAZARIZONA MEDICAL BOARD LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.bronsonhg.org Direct Bronson HealthCare Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, AZ, CA, MD4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20070731000585 MI Practitioner - Obstetrics/Gynecology 8921016718 Reassigns benefits to 2 organizations
I20110602000375 AZ Practitioner - Obstetrics/GynecologyPractitioner - Family Practice 8921016718
I20170201000523 CA Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 8921016718 Reassigns benefits to 1 organization
I20250122002892 MD Practitioner - Obstetrics/Gynecology 8921016718 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Jefferson Medical College of Thomas Jefferson University, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bronson Methodist HospitalGroup PAC ID 0244148633, 721 clinicians

Practice addresses (Care Compare)

2854 S 11TH St
Bronson Obandgyn Kalamazoo
Kalamazoo, MI 49009-2129
Phone (269) 345-6197

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
87822CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Texas Rio Grande Valley CurrentSince Aug 1, 2019 Accepting new patients
Mariposa Community Health Center, Inc Obstetrics & Gynecology CurrentSince Jan 11, 2023 Accepting new patients
Kern County Hospital Authority CurrentSince Jun 10, 2024 Accepting new patients
Kern County Hospital Authority CurrentSince Jun 10, 2024 Accepting new patients
University of MD Obstetrical and Gynecological Asso. PA Obstetrics & Gynecology CurrentSince Dec 18, 2024 Accepting new patients
The University of Texas Rio Grande Valley Family Medicine Current Accepting new patients
Mariposa Community Health Center, Inc Family Medicine Current Accepting new patients
Mariposa Community Health Center, Inc Family Medicine CurrentSince Jan 11, 2023 Accepting new patients
University of Maryland Medical Center, LLC Past Accepting new patients
Mariposa Community Health Center, Inc Family Medicine PastSince Jan 11, 2023 Accepting new patients
University of Texas Rio Grande Valley Past Accepting new patients
Cedars-Sinai Medical Center PastSince Jan 1, 2018 Accepting new patients

Locations

1209 W Target Range Rd
Ste 100
Nogales, AZ 85621
Phone (520) 287-4747

825 N Grand Ave
Ste 100
Nogales, AZ 85621
Phone (520) 761-2128

1852 N Mastick Way
Nogales, AZ 85621

1103 Circulo Mercado
Ste E
Rio Rico, AZ 85648
Phone 52028115501307

1111 Columbus St
Bakersfield, CA 93305
Phone (661) 326-5052

1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000

250 W Pratt St
Ste 880
Baltimore, MD 21201

419 W Redwood St
Ste 500
Baltimore, MD 21201
Phone (410) 328-6640

2821 W Michaelangelo Dr
Ste 400
Edinburg, TX 78539
Phone (956) 362-3590

2102 Treasure Hills Blvd
Harlingen, TX 78550
Phone (956) 296-1437

2810 W Expressway 83
Mercedes, TX 78570
Phone (956) 296-1831

Organizations & group practices 14

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.

View all 14

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": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1740234616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2854 S 11TH ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490092129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2854 S 11TH ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490092129",
            "telephone_number": "269-345-6197"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 S Paca St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212011748",
            "country_code": "US",
            "telephone_number": "410-328-5964",
            "fax_number": "410-328-3589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "PAMELA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301089428",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "S2138",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "32169",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-TX",
            "identifier": "H08LH44101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3995805-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA MEDICAL BOARD LICENSE",
            "identifier": "32169",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.bronsonhg.org",
            "affiliation": "Y",
            "endpointDescription": "Bronson HealthCare Group Direct address",
            "affiliationName": "Bronson HealthCare Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Continuity of Care Document",
            "address_1": "601 John St",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490075232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.