Individual provider Active NPI

Javin Hastin Brita, PA-C

  • Physician Assistant
  • Grand Rapids, MI
National Provider Identifier
1992298681
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601011897 Issued in MI
Practice address
145 Michigan St NE Ste 5200
Grand Rapids, MI 49503-2565
Phone
(616) 486-6700
NPI assigned
Jun 7, 2018
Last updated
Apr 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 23.004110 CT
Physician Assistant 363A00000X 5601011897 MI Primary

Addresses

Primary practice location

145 Michigan St NE Ste 5200
Grand Rapids, MI 49503-2565

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240226001673 MI Practitioner - Physician Assistant 5395095285 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

145 Michigan St NE
4100 Corewell Health Medical Group West
Grand Rapids, MI 49503-2567
Phone (616) 486-6314

145 Michigan St NE
5500 Corewell Health Medical Group West
Grand Rapids, MI 49503-2565
Phone (616) 267-8540

212 S Sullivan Ave
Corewell Health Gerber Hospital
Fremont, MI 49412-1548
Phone (231) 924-1212

230 W Oak St
Corewell Health Gerber Hospital
Fremont, MI 49412-1526
Phone (231) 924-4200

4069 Lake Dr SE
Grand Rapids, MI 49546-8816

4444 Kalamazoo Ave SE
200 Corewell Health Medical Group West
Kentwood, MI 49508-4600
Phone (616) 391-5600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
23.004110CTMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Newaygo County General Hospital Association CurrentSince Apr 15, 2024 Accepting new patients
Memorial Medical Center of West Michigan CurrentSince Apr 15, 2024 Accepting new patients
Spectrum Health Primary Care Partners Current Accepting new patients
Reed City Hospital Corporation CurrentSince Apr 15, 2024 Accepting new patients
Spectrum Health United CurrentSince Apr 15, 2024 Accepting new patients
Pennock Hospital CurrentSince Apr 15, 2024 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Apr 15, 2024 Accepting new patients
Newaygo County General Hospital Association CurrentSince Apr 15, 2024 Accepting new patients
Pennock Hospital CurrentSince Apr 15, 2024 Accepting new patients
Reed City Hospital Corporation CurrentSince Apr 15, 2024 Accepting new patients
Memorial Medical Center of West Michigan CurrentSince Apr 15, 2024 Accepting new patients

Locations

1227 W State St
Belding, MI 48809
Phone (616) 794-0800

212 S Sullivan Ave
Fremont, MI 49412
Phone (231) 924-1212

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

145 Michigan St NE
Ste 5200
Grand Rapids, MI 49503
Phone (616) 486-5933

1005 W Green St
Ste 300
Hastings, MI 49058
Phone (269) 948-8411

4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600

1 Atkinson Dr
Ludington, MI 49431
Phone (231) 843-2591

300 N Patterson Rd
Reed City, MI 49677
Phone (231) 832-3271

Interoperability endpoints

  • Direct secure messaging: jbrita2047905@epic00.corewelldirect.org

Organizations & group practices 11

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

Hospital & facility affiliations 4

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": "1528329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1992298681",
    "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": "145 MICHIGAN ST NE STE 5200",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032565",
            "telephone_number": "616-486-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRITA",
        "first_name": "JAVIN",
        "middle_name": "HASTIN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-07",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "23.004110",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601011897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.