Araceli C Mesiona-Brucal MD PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301079223 Issued in MI

Legal business name

ARACELI C MESIONA-BRUCAL MD PLLC

Practice address

8683 Red Arrow Hwy
Watervliet, MI 49098-9761

Phone

(269) 463-3375

Fax

(269) 463-3487

NPI assigned

Sep 30, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Araceli Mesiona-Brucal, MDNPI 1578572517

Title

Owner

Phone

(269) 463-3375

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Araceli Cempron Mesiona-Brucal, M.D.

  • Family Medicine Physician
  • Watervliet, MI
  • NPI 1578572517
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1412035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412035200000",
    "number": "1821491283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8683 RED ARROW HWY",
            "city": "WATERVLIET",
            "state": "MI",
            "postal_code": "490989761",
            "telephone_number": "269-463-3375",
            "fax_number": "269-463-3487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8683 RED ARROW HWY",
            "city": "WATERVLIET",
            "state": "MI",
            "postal_code": "490989761",
            "telephone_number": "269-463-3375",
            "fax_number": "269-463-3487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARACELI C MESIONA-BRUCAL MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-30",
        "last_updated": "2014-09-30",
        "status": "A",
        "authorized_official_last_name": "MESIONA-BRUCAL",
        "authorized_official_first_name": "ARACELI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-463-3375",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301079223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Watervliet, MI
• Providers in Watervliet, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.