Be Restored Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BE RESTORED INC

Practice address

1500 Friday Rd
Coloma, MI 49038-8958

Phone

(269) 470-1797

NPI assigned

Aug 17, 2015

Organization subpart

No

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

Authorized official

Name

Raquel V De Leon, NP

Title

Owner

Phone

(269) 470-1797

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1439769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439769600000",
    "number": "1902272602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 FRIDAY RD",
            "city": "COLOMA",
            "state": "MI",
            "postal_code": "490388958",
            "telephone_number": "269-470-1797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 FRIDAY RD",
            "city": "COLOMA",
            "state": "MI",
            "postal_code": "490388958",
            "telephone_number": "269-470-1797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BE RESTORED INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-17",
        "last_updated": "2015-08-17",
        "status": "A",
        "authorized_official_last_name": "DE LEON",
        "authorized_official_first_name": "RAQUEL",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-470-1797",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Albertin, PA-C
• Renee Anderson
• Barrier Free Occupational Therapy, Inc.
• Cozette Borgerson
• Kristin Arliene Bronkala
• Darlene Suzanne Bruner-Getz, DDS
• Andrea Rose Burdette
• Ramakrishna Reddy Burramukku, B.PHARM,M.B.O.,

• Family Medicine Physician in Coloma, MI
• Providers in Coloma, 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 Aug 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.