BRONSON METHODIST HOSPITAL NPI 1013089820
Physician Assistant in Portage, MI

About BRONSON METHODIST HOSPITAL

Bronson Methodist Hospital is a primary care provider established in Portage, Michigan operating as a Physician Assistant. The NPI number of Bronson Methodist Hospital is 1013089820 and was assigned on November 2006. The practitioner's primary taxonomy code is 363A00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Bronson Methodist Hospital operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Rebecca East (Svp, Cfo)

NPI
1013089820
Provider NameBRONSON METHODIST HOSPITAL
Location Address5121 S WESTNEDGE AVE PORTAGE, MI 49002
Location Phone(269) 552-4212
Mailing Address301 JOHN ST BOX 42 KALAMAZOO, MI 49007
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?Yes
Enumeration Date11-15-2006
Last Update Date09-10-2020

A primary care provider (PCP) like Bronson Methodist Hospital sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

The CLIA number of Bronson Methodist Hospital is 23D0650932 registered as a "hospital" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued to Bronson Methodist Hospital on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code363A00000X
ClassificationPhysician Assistant
TypePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy DescriptionA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Blue Cross Blue Shield
  • Medicaid
  • Medicare

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

Business Address

BRONSON METHODIST HOSPITAL
5121 S WESTNEDGE AVE
PORTAGE, MI
ZIP 49002
Phone: (269) 552-4212

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Mailing Address

BRONSON METHODIST HOSPITAL
301 JOHN ST
BOX 42
KALAMAZOO, MI
ZIP 49007
Phone: (269) 341-7806


Location Map

Authorized Official

The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

Authorized Official Name REBECCA EAST
Authorized Official TitleSVP, CFO
Authorized Official Phone(269) 341-6000

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1013089820 is:

CLIA Number23D0650932
Facility TypeHOSPITAL
Certificate TypeCertificate of Accreditation

Group Taxonomy


193400000X MULTIPLE SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineNo

Taxonomy Description: an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

2363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyNo

Taxonomy Description: Not Available

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
420C910610OTHER (01)MIBCBSM GROUP PIN

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.
1013089820
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2023081884
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 8 + 1 + 8 + 8 + 4 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1013089820 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003945429MR. WARREN R WHALEY R.PH.
Individual
Pharmacist5121 S WESTNEDGE AVE
PORTAGE, MI 49002
(269) 337-2133
1447270384MEIJER INC
Organization
Pharmacy (Community/Retail Pharmacy)5121 S WESTNEDGE AVE
PORTAGE, MI 49002
(269) 337-2110
1093080889USV OPTICAL INC.
Organization
Eyewear Supplier5121 S WESTNEDGE AVE
PORTAGE, MI 49002
(269) 343-6553
1316692411 PAWANDEEP KAUR
Individual
Pharmacist (Pharmacotherapy)5121 S WESTNEDGE AVE
PORTAGE, MI 49002
(269) 337-2110
1700534393 JACKSON PATRICK MAURER
Individual
Student in an Organized Health Care Education/Training Program5121 S WESTNEDGE AVE
PORTAGE, MI 49002
(269) 337-2110

Frequently Asked Questions

What is BRONSON METHODIST HOSPITAL NPI number?

The NPI number assigned to BRONSON METHODIST HOSPITAL is 1013089820, registered as an "organization" on November 15, 2006

Where is BRONSON METHODIST HOSPITAL located?

The provider is located at 5121 S Westnedge Ave Portage, Mi 49002 and the phone number is (269) 552-4212

What kind of medical provider is BRONSON METHODIST HOSPITAL?

This medical organization specializes in Physician Assistant

What insurance does BRONSON METHODIST HOSPITAL accept?

The provider might be accepting Blue Cross Blue Shield, Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

What is BRONSON METHODIST HOSPITAL CLIA number?

The provider's CLIA number is 23D0650932 for a "hospital" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..

How do I update my NPI information?

The NPI record of BRONSON METHODIST HOSPITAL was last updated on November 15, 2006. 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]tor.com.
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