NPIMap

Timothy M Bont, M.D.

Individual provider Active NPI Family Medicine Physician · Newaygo, MI

NPI 1821040106 · NPPES record last updated Feb 26, 2021

Key facts

NPI
1821040106
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
064408 (MI)
Practice address
211 W Pine Lake Dr
Newaygo, MI 49337-8029
Phone
(231) 652-1631
Fax
(231) 652-1733
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newaygo County General Hospital Association (64 clinicians)
Spectrum Health Primary Care Partners (2,283 clinicians)

Practice addresses (Care Compare)

211 W Pine Lake Dr
Corewell Health Gerber Hospital
Newaygo, MI 49337-8029
Phone (231) 652-1631

2900 Bradford St NE
Corewell Health Medical Group West
Grand Rapids, MI 49525-6427
Phone (616) 885-5000

2902 Bradford St NE
Corewell Health Medical Group West
Grand Rapids, MI 49525-6427
Phone (616) 486-6577

4444 Kalamazoo Ave SE
200 Corewell Health Medical Group West
Kentwood, MI 49508-4600
Phone (616) 391-5600

Hospital & facility affiliations

  • Community Home Care Services Home health agency · Newaygo, MI · CCN 237035
  • Corewell Health Visiting Nurse Association Home health agency · Grand Rapids, MI · CCN 237007
  • Mary Free Bed at Home, LLC Home health agency · Grand Rapids, MI · CCN 237203
  • Corewell Health Hospice & Palliative Care - West Michigan Hospice · Grand Rapids, MI · CCN 231544
  • Corewell Health Gerber Hospital Hospital · Fremont, MI · CCN 231338
  • Spectrum Health Hospital · Grand Rapids, MI · CCN 230038
  • Corewell Health Big Rapids Hospital Hospital · Big Rapids, MI · CCN 230093

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20040520000910 MI Practitioner - Family Practice
Practitioner - General Surgery		 3971592643 Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
064408MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Medical Center of West Michigan Family Medicine Current
since Jan 1, 2020		 Accepting new patients
Newaygo County General Hospital Association Current
since Apr 5, 2015		 Accepting new patients
Newaygo County General Hospital Association Current
since Apr 5, 2015		 Accepting new patients
Spectrum Health Primary Care Partners Current
since Mar 1, 2014		 Accepting new patients
Spectrum Health Primary Care Partners Current
since Mar 1, 2014		 Accepting new patients
Memorial Medical Center of West Michigan Current
since Jan 1, 2020		 Accepting new patients
Newaygo County General Hospital Association Past Accepting new patients

Locations

212 S Sullivan Ave
Fremont, MI 49412
Phone (231) 924-1212

230 W Oak St
Fremont, MI 49412
Phone (231) 924-1305

230 W Oak St
Ste 201
Fremont, MI 49412
Phone (231) 924-4200

230 W Oak St
Ste 1
Fremont, MI 49412
Phone (616) 267-9823

100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242

2249 Wealthy St SE
Ste 110
Grand Rapids, MI 49506
Phone (616) 391-4600

4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600

1 Atkinson Dr
Ludington, MI 49431
Phone (231) 843-2591

211 W Pine Lake Dr
Newaygo, MI 49337
Phone (231) 652-1631

Interoperability endpoints

  • Direct secure messaging: tbont1038@epic00.shdirect.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 064408 MI Yes

Addresses

Primary practice location

211 W Pine Lake Dr
Newaygo, MI 49337-8029

Mailing address

100 Michigan St NE
MC 845
Grand Rapids, MI 49503-2560

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address tbont1038@epic00.shdirect.org
FHIR URL https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 26, 2021.

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1821040106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE",
            "address_2": "MC 845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 W PINE LAKE DR",
            "city": "NEWAYGO",
            "state": "MI",
            "postal_code": "493378029",
            "telephone_number": "231-652-1631",
            "fax_number": "231-652-1733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONT",
        "first_name": "TIMOTHY",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "064408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tbont1038@epic00.shdirect.org",
            "affiliation": "N",
            "address_1": "211 W Pine Lake Dr",
            "city": "Newaygo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "493378029",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "211 W Pine Lake Dr",
            "city": "Newaygo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "493378029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newaygo, MI

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Sources for this page

Verify at the official NPI Registry.