Organization Active NPI

Bronson Methodist Hospital

Doing business as Bronson Pediatric Hematology Oncology Center

  • Pediatric Hematology & Oncology Physician
  • Kalamazoo, MI
National Provider Identifier
1801298799
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X
Legal business name
BRONSON METHODIST HOSPITAL
Doing business as
Bronson Pediatric Hematology Oncology Center
Practice address
601 John St Ste M-005
Kalamazoo, MI 49007-5381
Phone
(269) 341-6350
Fax
(269) 341-8580
NPI assigned
Sep 23, 2014
Organization subpart
Yes
Parent organization
BRONSON METHODIST HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Authorized official

Name
Ms. Rebecca East
Title
Vice President
Phone
(269) 341-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0207X Primary

Addresses

Primary practice location

601 John St Ste M-005
Kalamazoo, MI 49007-5381

Mailing address

601 John St
Box 42
Kalamazoo, MI 49007-5341
Phone (269) 341-7806

Other names 1

  • Bronson Pediatric Hematology Oncology Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Emo J W MD8 organizations share this tax ID, including this one
Part of
Emo J W MD

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723766400000",
    "number": "1801298799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 JOHN ST",
            "address_2": "BOX 42",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075341",
            "telephone_number": "269-341-7806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 JOHN ST STE M-005",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075381",
            "telephone_number": "269-341-6350",
            "fax_number": "269-341-8580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRONSON METHODIST HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRONSON METHODIST HOSPITAL",
        "enumeration_date": "2014-09-23",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A",
        "authorized_official_last_name": "EAST",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "269-341-6000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bronson Pediatric Hematology Oncology Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.