BRIAN WILLIE
NPI 1154719144
Physician Assistant - Surgical in Holland, MI

Q: What is Brian Willie's NPI number?

The NPI number for Brian Willie is 1154719144. It was assigned to this individual provider in the NPPES registry on December 30, 2014.

Q: What is Brian Willie's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Brian Willie was last updated on December 30, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 30, 2014PECOS EnrolledAccepts Medicare Assignment

370 N 120TH AVE, HOLLAND, MI 49424(616) 396-5855(616) 396-5720 Get Directions Write a Review

NPPES record last updated: December 30, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Brian Willie NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIAN WILLIE (NPI 1154719144) is an individual surgical provider in Holland, Michigan, licensed in Michigan (5601007254) and active in the NPI registry since December 2014. He is enrolled in Medicare PECOS, is affiliated with Holland Community Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1154719144

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameBRIAN WILLIE

Location Address370 N 120TH AVEHolland, MI 49424-2196

Mailing Address370 N 120th AveHolland, MI 49424-2196 · (616) 396-5855 · Fax (616) 396-5720

Phone(616) 396-5855

Fax(616) 396-5720

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateDecember 30, 2014

✔ NPI 1154719144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in MI · 5601007254

370 N 120TH AVE, Holland, MI 49424

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brian Willie is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618292079

PECOS Enrollment IDI20150206001589

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Holland Community Hospital

Acute Care Hospitals · Holland, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230072

Location602 Michigan AveHolland, MI 49423 · Ottawa County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RICHARD M HOWELL M.D.

Surgery (Surgery of the Hand)