# BRONSON PRACTICE MANAGEMENT

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BRONSON PRACTICE MANAGEMENT
- **Other names:** Bronson Practice Management Nurse Practitioners & Physician Assistants
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1801818752
- **Legal business name:** BRONSON PRACTICE MANAGEMENT
- **Authorized official:** MR. JAMES B FALAHEE (SVP LEGAL AFFAIRS, CLO)
- **Authorized official phone:** (269) 341-6000

## Contact information

- **Practice address:** 601 JOHN ST, BOX 42, KALAMAZOO, MI 49007-5341
- **Practice address phone:** (269) 341-7806
- **Practice address fax:** (269) 341-8143
- **Mailing address:** 601 JOHN ST, BOX 42, KALAMAZOO, MI 49007-5341
- **Mailing address phone:** (269) 341-7806
- **Mailing address fax:** (269) 341-8143

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |
| 367A00000X | Advanced Practice Midwife | — | NULL | — |
| 367A00000X | Advanced Practice Midwife | — | — | — |

## Other

- **Enumeration date:** 07/23/2006
- **Last updated:** 07/07/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 500C912770 | BCBSM | MI |