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BRONSON MEDICAL GROUP
NPI 1174749170
Family Medicine in South Haven, MI

Active since April 18, 2007CLIA Certified · 2 labs
950 S BAILEY AVE, SOUTH HAVEN, MI 49090(269) 637-5271(269) 639-2818 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 17, 2020, Aug 31, 2017, Apr 18, 2017 and 3 more (6 updates tracked since 2016).

About Bronson Medical Group NPPES

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

BRONSON MEDICAL GROUP (NPI 1174749170) is a healthcare organization registered as a family medicine in South Haven, Michigan and active in the NPI registry since April 2007. The organization holds 2 active CLIA laboratory certificates and lists Rebecca L East, Svp, Cfo, as its authorized official.

NPPES Registry Identity

NPI1174749170
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBRONSON SOUTH HAVEN HOSPITAL
Location Address950 S BAILEY AVESouth Haven, MI 49090-8744
Mailing Address601 John St, Box 42Kalamazoo, MI 49007-5341 · (269) 341-8419 · Fax (269) 341-8913
Phone(269) 637-5271
Fax(269) 639-2818
Organization SubpartNo
Authorized OfficialRebecca L EastSvp, Cfo · (269) 341-6000
Enumeration DateApril 18, 2007
Last NPPES UpdateNovember 27, 20236 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2020
✔ NPI 1174749170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 1060000042
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X · License 800020 (MI)
950 S BAILEY AVE, South Haven, MI 49090
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Other Names 1

Doing Business AsBronson Medical Group

Other Identifiers 2

Other700H06003MI · Bcbs Group Number
Other800020MI · License Number

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 23D0378033

Bronson South Haven Hospital · South Haven, MI
Active · expires Aug 16, 2027
CLIA Number23D0378033
Laboratory TypeHospital
Certificate Effective DateAugust 17, 2025
Certificate Expiration DateAugust 16, 2027
Laboratory DirectorDr. Karla K. Dunning
Laboratory Phone(269) 637-5271
Laboratory LocationBronson South Haven Hospital955 S Bailey Avenue, South Haven, MI 49090
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 23D2222155

Bronson South Haven Hospital Ancillary Testing · South Haven, MI
Active · expires Apr 26, 2027
CLIA Number23D2222155
Laboratory TypeHospital
Certificate Effective DateApril 27, 2025
Certificate Expiration DateApril 26, 2027
Laboratory DirectorKarla Dunning
Laboratory Phone(269) 637-5271
Laboratory LocationBronson South Haven Hospital Ancillary Testing955 S Bailey Avenue, South Haven, MI 49090
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

WASEEM SHERIFF HUMAYOON SHERIFF
Physical Therapist
950 S BAILEY AVE
SOUTH HAVEN, MI 49090
Van Buren County (269) 639-2929
SARAH ELIZABETH WAYNER-BRISTOL
Physical Therapist
950 S BAILEY AVE
SOUTH HAVEN, MI 49090
Van Buren County (269) 767-4836
MRS. ALISA A SOMERS DPT
Physical Therapist
950 S BAILEY AVE
SOUTH HAVEN, MI 49090
Van Buren County (269) 639-2929
COURTNEY DWYER
Physical Therapist
950 S BAILEY AVE
SOUTH HAVEN, MI 49090
Van Buren County (269) 639-2929
LISA KAY BIGELOW N.P.
Nurse Practitioner
950 S BAILEY AVE
SOUTH HAVEN, MI 49090
Van Buren County (269) 639-2916
JOSEPH DEYOUNG
Occupational Therapist
950 S BAILEY AVE
SOUTH HAVEN, MI 49090
Van Buren County (269) 639-2929

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bronson South Haven Hospital's NPI number?

The NPI number for Bronson South Haven Hospital is 1174749170. It was assigned to this organization in the NPPES registry on April 18, 2007. The provider is doing business as Bronson Medical Group.

Where is Bronson South Haven Hospital located?

Bronson South Haven Hospital is located at 950 S Bailey Ave, South Haven, MI 49090. The listed phone number is (269) 637-5271.

What is Bronson South Haven Hospital's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Bronson South Haven Hospital hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Bronson South Haven Hospital accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Bronson South Haven Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bronson South Haven Hospital was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.