NPIMap

Organization Active NPI

Bronson Methodist Hospital

  • General Acute Care Hospital
  • Kalamazoo, MI
National Provider Identifier
1831116441
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
390020 Issued in MI
Legal business name
BRONSON METHODIST HOSPITAL
Practice address
601 John St
Kalamazoo, MI 49007-5341
Phone
(269) 341-7806
Fax
(269) 341-8743
NPI assigned
Jul 17, 2006
Organization subpart
Yes
Parent organization
BRONSON METHODIST HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Rebecca East
Title
SVP, Cfo
Phone
(269) 341-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 390020 MI Primary

Addresses

Primary practice location

601 John St
Kalamazoo, MI 49007-5341

Mailing address

301 John St
Box 42
Kalamazoo, MI 49007-5295
Phone (269) 341-7806

Other identifiers 5

IdentifierTypeStateIssuer
5030001OtherMIUNITED HEALTHCARE
5170246MedicaidMI
1557963MedicaidMI
00227OtherMIBCBSM
6030062OtherMIUNITED HEALTHCARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.bronsonhg.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20021107000016 MI Part A Provider - Hospital 0244148633

Hospital certification: CCN 230017

Legal name
BRONSON METHODIST HOSPITAL
Doing business as
BRONSON METHODIST HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jan 28, 2010
Beds
380
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Enrollment address
601 John St
Kalamazoo, MI 49007-5341
Other Hospital Practice Location
Hospital subgroups
Acute care

Hospital certification: CCN 230294

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
SEMPERCARE HOSPITAL AT BRONSON
Certification status
Terminated Other: provider status change, Jun 1, 2003
Provider type (POS)
Hospital – Short-term
Participating since
Oct 30, 2002
Last certification
Oct 30, 2002
Beds
25
Ownership / control type
Private (not for profit)
Facility address
601 John Street
Kalamazoo, MI 49007

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Bronson Methodist HospitalCCN 230017
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

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.

Locations

5550 Glenn Cross Rd
Detroit, MI 48277

601 John St
Ste M-515
Kalamazoo, MI 49007
Phone (269) 341-7145

Ownership & related parties

All disclosed owners & managing parties 30

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Bill Harold Manns Individual Corporate OfficerPresident & Ceo Jan 1, 2020
William B Workman Individual Corporate OfficerSystem Vice Chief of Staff Jul 1, 2022
Mike Way Individual Corporate OfficerSVP Jan 1, 1986
W-2 Managing EmployeeSVP Jan 1, 1986
Martinson Kweku Arnan Individual Corporate DirectorChief Physician Executive Jan 1, 2024
Rebecca East Individual Corporate OfficerSVP, Cfo Feb 1, 2015
W-2 Managing EmployeeSVP, Cfo Feb 1, 2015
Michael F Odar Individual Corporate Director Jul 1, 2016
Steven J Lins Individual Corporate DirectorBoard Member Jul 1, 2011
Erick Stewart Individual Corporate Director Nov 1, 2022
Katharine Hermsen Individual Corporate Director Jan 1, 2025
Robert M Nicholson Individual Corporate Director Jul 1, 2024
James L Liggins Individual Corporate DirectorDirector Oct 1, 2016
Cheryl Johnson Individual Corporate OfficerSVP, Cpo Jan 1, 2021
W-2 Managing EmployeeSVP, Cpo Jan 1, 2021
Leigh Ann Colegrove Individual W-2 Managing Employee Oct 11, 2021
Lynn Chen-Zhang Individual Corporate Director Nov 1, 2022
Jorge Gonzalez Individual Corporate DirectorDirector Jan 1, 2018
Namita Sharma Individual Corporate Director Nov 1, 2022
Richard J Allen Individual Corporate DirectorDirector Jan 1, 2017
Kellie Hoffman Individual Corporate Director Jan 1, 2025
Genevieve Coleman Individual Corporate Director Jan 1, 2025
Bronson Health Care Group Inc Organization, Kalamazoo, MI Corporation, Chain home office 5% Or Greater Direct Ownership Interest Feb 4, 1982 100%
Operational/Managerial Control Feb 4, 1982 100%
Rachel Worgess Individual Corporate Director Jan 1, 2025
Scott C Gibson Individual Corporate Director Jun 1, 2008
Luther Marshall Washington Individual Corporate Director Nov 1, 2022
Randall W. Eberts Individual Corporate Director Dec 20, 2002
Grace Lubwama Individual Corporate Director Jan 1, 2025
Brenda L Hunt Individual Corporate DirectorBoard Member Jul 1, 2011
Donald R. Parfet Individual Corporate Director Dec 20, 2002
James B Falahee Individual Corporate OfficerSVP Legal & Legislative Affairs Jun 1, 2014
W-2 Managing EmployeeSVP Legal & Legislative Affairs Jun 1, 2014
Neil Nyberg Individual Corporate DirectorBoard Member Jul 1, 2011
Nelson Karre Individual Corporate DirectorBoard Member Jul 1, 2011

Owners & managing parties with NPI records 6

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 11

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 190

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

View all 190

Affiliated clinicians 1,486

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 1,486

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1831116441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 JOHN ST",
            "address_2": "BOX 42",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075295",
            "telephone_number": "269-341-7806",
            "fax_number": "269-341-8743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 JOHN ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075341",
            "telephone_number": "269-341-7806",
            "fax_number": "269-341-8743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRONSON METHODIST HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRONSON METHODIST HOSPITAL",
        "enumeration_date": "2006-07-17",
        "last_updated": "2023-11-27",
        "certification_date": "2020-09-10",
        "status": "A",
        "authorized_official_last_name": "EAST",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "SVP, CFO",
        "authorized_official_telephone_number": "269-341-6000"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MI",
            "license": "390020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "5030001",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5170246",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1557963",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "00227",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "6030062",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.bronsonhg.org",
            "affiliation": "Y",
            "endpointDescription": "Bronson Healthcare Group Direct address",
            "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": "490075341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.