Active NPI
Casey R Bartman MD PC
- Orthopaedic Surgery Physician
- Grand Rapids, MI
National Provider Identifier
1871782136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- CB047651
- Legal business name
- CASEY R BARTMAN MD PC
- Practice address
- 751 Kenmoor Ave
Grand Rapids, MI 49546 - Phone
- (616) 956-7716
- Fax
- (616) 956-0839
- NPI assigned
- Oct 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Casey Robert Bartman, MD
- Title
- Owner
- Phone
- (616) 956-7716
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | CB047651 | MI | Primary |
| Orthopaedic Surgery Physician | 207X00000X | 047651 | MI |
Addresses
Primary practice location
751 Kenmoor Ave
Grand Rapids, MI 49546
Mailing address
751 Kenmoor Ave
Grand Rapids, MI 49546
Phone (616) 956-7716
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0411356 | Other | MI | BLUE CROSS BLUE SHIELD |
| 1422 | Other | MI | PRIORITY HEALTH |
| 101730719 | Medicaid | MI | |
| 1730719 | Medicaid | MI | |
| 2004113561 | Other | MI | BLUE CROSS |
| 2004113561 | Other | MI | BLUE CARE NETWORK |
Other names 1
- Orthopaedic & Spinal Associates
National Provider Directory
National Provider DirectoryLocations
1810 W Washington St
Ste 3
Greenville, MI 48838
Phone (616) 754-6827
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Richland, MI
- NPI 1578534699
-
- Orthopaedic Surgery Physician
- Detroit, MI
- NPI 1780722710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193097600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219276800000",
"number": "1871782136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "751 KENMOOR AVE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "49546",
"telephone_number": "616-956-7716",
"fax_number": "616-956-0839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "751 KENMOOR AVE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "49546",
"telephone_number": "616-956-7716",
"fax_number": "616-956-0839"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CASEY R BARTMAN MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-23",
"last_updated": "2008-08-21",
"status": "A",
"authorized_official_last_name": "BARTMAN",
"authorized_official_first_name": "CASEY",
"authorized_official_middle_name": "ROBERT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "616-956-7716",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "MI",
"license": "CB047651",
"primary": true
},
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "MI",
"license": "047651",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0411356",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIORITY HEALTH",
"identifier": "1422",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101730719",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1730719",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "2004113561",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE NETWORK",
"identifier": "2004113561",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Orthopaedic & Spinal Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.