Individual provider Active NPI

Edward Yuder Chen, M.D.

  • Clinical Neurophysiology Physician
  • Grand Rapids, MI
National Provider Identifier
1992110316
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
License
25MA12688600 Issued in NJ
Practice address
275 Michigan St NE
Grand Rapids, MI 49503-2531
Phone
(616) 267-7900
Fax
(616) 267-7901
NPI assigned
Jun 24, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Epilepsy Physician 2084E0001X 4301503795 MI
Clinical Neurophysiology Physician 2084N0600X 25MA12688600 NJ Primary
Clinical Neurophysiology Physician 2084N0600X 4301503795 MI

Addresses

Primary practice location

275 Michigan St NE
Grand Rapids, MI 49503-2531

Mailing address

100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560

Other practice location 1

1105 Sixth St
Traverse City, MI 49684-2345
Phone (231) 935-6239

Other practice location 2

601 John St Ste M-124
Kalamazoo, MI 49007-5377
Phone (269) 341-7500

Other practice location 3

4500 Parsons Blvd
Flushing, NY 11355
Phone (908) 698-2875

Other practice location 4

4500 Parsons Blvd
Flushing, NY 11355-2205
Phone (908) 698-2875

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.bronsonhg.org Direct Bronson Healthcare Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210326001618 MI Practitioner - Neurology 0143640748 Reassigns benefits to 6 organizations
I20251112003032 NJ Practitioner - Neurology 0143640748 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Robert Wood Johnson PL
New Brunswick, NJ 08901-1928
Phone (732) 828-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301503795MIMDClinical Neurophysiology Physician
25MA12688600NJMDClinical Neurophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeland Community Hospital Watervliet CurrentSince Oct 1, 2021 Accepting new patients
Lakeland Community Hospital Watervliet Current Accepting new patients
Bronson Battle Creek Hospital CurrentSince Sep 1, 2022 Accepting new patients
Munson Medical Center Current Accepting new patients
Munson Medical Center CurrentSince Oct 27, 2022 Accepting new patients
Lakeland Community Hospital Watervliet CurrentSince Oct 1, 2021 Accepting new patients
Lakeland Medical Practices CurrentSince Oct 1, 2021 Accepting new patients
Bronson Battle Creek Hospital Neurology CurrentSince Sep 1, 2022 Accepting new patients
Bronson Methodist Hospital Neurology CurrentSince Sep 1, 2022 Accepting new patients
Rutgers Health-RWJ Scleroderma Program CurrentSince Aug 30, 2025 Accepting new patients
Rutgers Health-RWJ Scleroderma Program Current Accepting new patients
Rutgers Health-RWJ Scleroderma Program Psychiatry CurrentSince Aug 30, 2025 Accepting new patients
Lakeland Medical Practices Current Accepting new patients
Lakeland Hospitals at Niles and St Joseph, Inc Current Accepting new patients
Pathology Assoc of Southwestern Michigan, PC Current Accepting new patients
Munson Medical Center Neurology CurrentSince Oct 27, 2022 Accepting new patients
Lakeland Hospitals at Niles and St Joseph, Inc CurrentSince Oct 1, 2021 Accepting new patients
Rutgers Health-RWJ Scleroderma Program Past Accepting new patients
Arizona Anesthesia Consultants, Inc. Anesthesiology Past Accepting new patients

Locations

2513 Momentum Pl
Chicago, IL 60689
Phone (231) 935-8031

300 North Ave
Fl 2
Battle Creek, MI 49017
Phone (269) 245-5862

100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100

3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990

1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

400 Medical Park Dr
Watervliet, MI 49098
Phone (269) 463-3111

125 Paterson St
Ste 4200
New Brunswick, NJ 08901
Phone (732) 235-6600

125 Paterson St
Ste 5100
New Brunswick, NJ 08901
Phone (732) 235-7060

1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887

125 Paterson St
Ste 6100
New Brunswick, NJ 08901
Phone (732) 235-6561

Interoperability endpoints

  • Direct secure messaging: direct@direct.bronsonhg.org
  • FHIR API: https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/R4/

Organizations & group practices 19

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 19

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1992110316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE # MC845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 MICHIGAN ST NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032531",
            "telephone_number": "616-267-7900",
            "fax_number": "616-267-7901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1105 Sixth St",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496842345",
            "country_code": "US",
            "telephone_number": "231-935-6239",
            "fax_number": "231-935-7251",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 John St Ste M-124",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490075377",
            "country_code": "US",
            "telephone_number": "269-341-7500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4500 Parsons Blvd",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "11355",
            "country_code": "US",
            "telephone_number": "908-698-2875",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4500 Parsons Blvd",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113552205",
            "country_code": "US",
            "telephone_number": "908-698-2875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEN",
        "first_name": "EDWARD",
        "middle_name": "YUDER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-24",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084E0001X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Epilepsy",
            "state": "MI",
            "license": "4301503795",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "NJ",
            "license": "25MA12688600",
            "primary": true
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "MI",
            "license": "4301503795",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.bronsonhg.org",
            "affiliation": "Y",
            "endpointDescription": "Bronson Healthcare Group Direct address",
            "affiliationName": "Bronson Healthcare Group",
            "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 Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.