BRONSON MEDICAL GROUP
NPI 1235131137
Internal Medicine in Paw Paw, MI

NPI Status: Active since August 11, 2005

Contact Information

451 HEALTH PKWY
PAW PAW, MI
ZIP 49079
Phone: (269) 657-2550
Fax: (269) 657-2285

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  • Organization
  • Internal Medicine
  • Accepts Insurance

About BRONSON MEDICAL GROUP

This page provides the complete NPI Profile along with additional information for Bronson Medical Group, an internist established in Paw Paw, Michigan operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1235131137 assigned on August 2005. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Bronson Medical Group operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Bronson Medical Group. The authorized official of this NPI record is Rebecca East (Svp, Cfo)

NPI
1235131137
Provider Legal Name
BRONSON LAKEVIEW HOSPITAL
Other Organization Name
BRONSON MEDICAL GROUP
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
451 HEALTH PKWY PAW PAW, MI 49079
Location Phone
(269) 657-2550
Location Fax
(269) 657-2285
Mailing Address
301 JOHN ST BOX 42 KALAMAZOO, MI 49007
Mailing Phone
(269) 341-7806
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-11-2005
Last Update Date
11-27-2023
Code Navigator

An internist like Bronson Medical Group is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

(MI)
2207RS0012XAllopathic & Osteopathic Physicians

Internal Medicine
Sleep Medicine

 
3207VG0400XAllopathic & Osteopathic Physicians

Obstetrics & Gynecology
Gynecology

 
4208000000XAllopathic & Osteopathic Physicians

Pediatrics

 
52084P0800XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Psychiatry

(MI)
6208600000XAllopathic & Osteopathic Physicians

Surgery

(MI)
7363AM0700XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant
Medical

(MI)
8363L00000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

(MI)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Cross� Preferred HMO Bronze Extra - HMO
  • Blue Cross� Preferred HMO Bronze Saver HSA - HMO
  • Blue Cross� Preferred HMO Bronze Secure - HMO
  • Blue Cross� Preferred HMO Gold - HMO
  • Blue Cross� Preferred HMO Gold Extra - HMO
  • Blue Cross� Preferred HMO Silver - HMO
  • Blue Cross� Preferred HMO Silver Extra - HMO
  • Blue Cross� Preferred HMO Silver Saver - HMO
  • Blue Cross� Preferred HMO Value - HMO
  • Blue Cross� Select HMO Bronze Extra - HMO
  • Blue Cross� Select HMO Bronze Saver HSA - HMO
  • Blue Cross� Select HMO Bronze Secure - HMO
  • Blue Cross� Select HMO Silver - HMO
  • Blue Cross� Select HMO Silver Extra - HMO
  • Blue Cross� Select HMO Silver Saver - HMO
  • Blue Cross� Select HMO Value - HMO
  • Blue Cross� Premier PPO Bronze Extra - PPO
  • Blue Cross� Premier PPO Bronze HSA - PPO
  • Blue Cross� Premier PPO Bronze Secure - PPO
  • Blue Cross� Premier PPO Gold - PPO
  • Blue Cross� Premier PPO Gold Extra - PPO
  • Blue Cross� Premier PPO Silver - PPO
  • Blue Cross� Premier PPO Silver Extra - PPO
  • Blue Cross� Premier PPO Silver Saver HSA - PPO
  • Blue Cross� Premier PPO Value - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

REBECCA EAST

Authorized Official Title
SVP, CFO
Authorized Official Phone
(269) 341-6000

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
238546OTHER (01)RHC-DECATUR
238601OTHER (01)RHC-PAW PAW
238585OTHER (01)RHC-MARCELLUS
238600OTHER (01)RHC-LAWTON

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1235131137
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
226523216
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 6 + 5 + 2 + 3 + 2 + 1 + 6 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1235131137 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1972585115 VINCENT R CABRAS MD
Individual
Family Medicine451 HEALTH PKWY SUITE B
PAW PAW, MI 49079
(269) 655-3065
1073525358 PIOTR JAN MIETUSIEWICZ PHYSICAL THERAPIST
Individual
Physical Therapist451 HEALTH PKWY
PAW PAW, MI 49079
(269) 657-8300
1467464768 RYAN E. LANGEJANS PHYSICAL THERAPIST
Individual
Physical Therapist451 HEALTH PKWY
PAW PAW, MI 49079
(269) 655-1720
1679676217MR. RONALD L PERRY R.PH
Individual
Pharmacist451 HEALTH PKWY
PAW PAW, MI 49079
(269) 655-3095
1811048101MR. GREGORY ROBERT HUGHES PA-C
Individual
Physician Assistant (Medical)451 HEALTH PKWY
PAW PAW, MI 49079
(269) 655-1715
1639370430BRONSON OUTPATIENT PHARMACY-PAW PAW
Organization
Pharmacy (Community/Retail Pharmacy)451 HEALTH PKWY
PAW PAW, MI 49079
(269) 655-3095
1932477320MR. BRUCE ALLEN WALL JR. PT, DPT
Individual
Physical Therapist451 HEALTH PKWY
PAW PAW, MI 49079
(269) 657-1490
1033115183 PAMELA NELSON M.D.
Individual
Family Medicine451 HEALTH PKWY SUITE B
PAW PAW, MI 49079
(269) 655-3065
1861492423 LYNNE MARIE LOUNSBURY CNP
Individual
Nurse Practitioner451 HEALTH PKWY SUITE B
PAW PAW, MI 49079
(269) 655-3065
1609858844 JOHN W KAVANAUGH JR. MD
Individual
Pediatrics451 HEALTH PKWY SUITE E
PAW PAW, MI 49079
(269) 655-3090
1417937020 ROSE M ROTH-BOWERSOCK PNP-BC
Individual
Nurse Practitioner (Pediatrics)451 HEALTH PKWY SUITE E
PAW PAW, MI 49079
(269) 655-3090
1235195298MR. GERALD M BUSH P.A.-C
Individual
Physician Assistant451 HEALTH PKWY SUITE B
PAW PAW, MI 49079
(269) 655-3065
1558644674MS. JAMIE LYNN CHILES ANP
Individual
Nurse Practitioner (Primary Care)451 HEALTH PKWY SUITE F
PAW PAW, MI 49079
(269) 655-3080
1467858118 SARA BAILEY FNP-BC
Individual
Nurse Practitioner451 HEALTH PKWY SUITE A
PAW PAW, MI 49079
(269) 657-2550
1720439979 KIMBERLY BAKER LMSW
Individual
Social Worker (Clinical)451 HEALTH PKWY
PAW PAW, MI 49079
(269) 655-3067
1053729269DR. TODD SUPER PHARM.D., BCPS
Individual
Pharmacist (Ambulatory Care)451 HEALTH PKWY
PAW PAW, MI 49079
(269) 655-1735
1336709500MR. DANIEL E LAIRD PT, DPT
Individual
Physical Therapist (Orthopedic)451 HEALTH PKWY
PAW PAW, MI 49079
(269) 657-1490
1962701664 PEACHIE SMITH PT
Individual
Physical Therapist451 HEALTH PKWY
PAW PAW, MI 49079
(269) 657-1490
1235781345 MARLESA MARIA JOHNSON DPT
Individual
Physical Therapist451 HEALTH PKWY
PAW PAW, MI 49079
(269) 657-1490
1114570801 KINJU DUDHIA PT
Individual
Physical Therapist451 HEALTH PKWY
PAW PAW, MI 49079
(269) 657-1490

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235131137, enumerated in the NPI registry as an "organization" on August 11, 2005

The provider is located at 451 Health Pkwy Paw Paw, Mi 49079 and the phone number is (269) 657-2550

This medical organization specializes in Internal Medicine with taxonomy code 207R00000X

The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on August 11, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.