Melinda Kay Bruxvoort, DC
Individual provider Active NPI Chiropractor · Middleville, MI
NPI 1851685408 · NPPES record last updated Feb 3, 2017
Key facts
- NPI
- 1851685408
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2301009760 (MI)
- Practice address
- 111 S Broadway St
Middleville, MI 49333-9167 - Phone
- (269) 205-2300
- Fax
- (269) 205-2301
- NPI assigned
- May 31, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Craft Chiropractic Center PC
Practice addresses (Care Compare)
111 S Broadway St
Middleville, MI 49333-9167
Phone (269) 205-2300
223 Lansing St
Charlotte, MI 48813-1605
Phone (517) 543-1115
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110907000951 | MI | Practitioner - Chiropractic | 0547430282 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007372 | IA | MD | Chiropractor |
| 2301009760 | MI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Craft Chiropractic Center PC | Chiropractor | Current | Accepting new patients |
| Spartan Family Chiropractic, Inc | Past | Accepting new patients |
Locations
223 Lansing St
Charlotte, MI 48813
Phone (517) 543-1115
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 007372 | IA | |
| Chiropractor | 111N00000X | 2301009760 | MI | Yes |
Addresses
Primary practice location
111 S Broadway St
Middleville, MI 49333-9167
Mailing address
3409 Burton Ridge Rd SE
Apt E
Grand Rapids, MI 49546-5824
Phone (319) 621-8544
Other providers in Middleville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.