Organization
BRONSON METHODIST HOSPITAL
Active
Parent organization
BRONSON METHODIST HOSPITAL
Other names
Bronson Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRONSON METHODIST HOSPITAL
Authorized official
REBECCA EAST (SVP, CFO)
(269) 341-6000
Entity
Organization
Contact information
Practice address
601 JOHN STREET, KALAMAZOO, MI 49007
(269) 341-7654
Mailing address
601 JOHN ST, BOX 42, KALAMAZOO, MI 49007-5341
(269) 341-7806
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
207T00000X
Neurological Surgery Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207VM0101X
Maternal & Fetal Medicine Physician
—
—
2080P0202X
Pediatric Cardiology Physician
—
—
2080P0203X
Pediatric Critical Care Medicine Physician
—
—
2080P0206X
Pediatric Gastroenterology Physician
—
—
2084N0400X
Neurology Physician
—
—
2086S0120X
Pediatric Surgery Physician
—
—
2086S0127X
Trauma Surgery Physician
—
—
2088P0231X
Pediatric Urology Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160C97618
BCBSM
MI
01
—
50C961050
BCBSM
MI
01
—
CA2184
RAILROAD MEDICARE
MI
01
—
CK6240
RAILROAD MEDICARE
MI
Enumeration date
07/28/2006
Last updated
11/27/2023
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