CENTRE FOR PLASTIC SURGERY
NPI 1184815417
Clinic/Center - Ambulatory Surgical in Grand Rapids, MI

Active since August 01, 2007CLIA 23D0865942 · Waiver
426 MICHIGAN ST, STE 300, GRAND RAPIDS, MI 49503(616) 454-1256(616) 831-2648 Get Directions Write a Review

NPPES record last updated: August 1, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Centre For Plastic Surgery NPPES

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

CENTRE FOR PLASTIC SURGERY (NPI 1184815417) is a healthcare organization registered as an ambulatory surgical in Grand Rapids, Michigan and active in the NPI registry since August 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Scott R Brundage, Member, as its authorized official.

NPPES Registry Identity

NPI1184815417
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameGRAND RAPIDS PLASTIC SURGERY PLC
Location Address426 MICHIGAN ST, STE 300Grand Rapids, MI 49503-5609
Mailing Address426 Michigan St, Ste 300Grand Rapids, MI 49503-5609 · (616) 454-1256 · Fax (616) 831-2648
Fax(616) 831-2648
Organization SubpartNo
Authorized OfficialScott R BrundageMember · (616) 454-1257
Enumeration DateAugust 1, 2007
NPI 1184815417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
426 MICHIGAN ST, Grand Rapids, MI 49503

Other Names 1

Doing Business AsCentre For Plastic Surgery

Other Identifiers 1

Medicare PIN2301029MI

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

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 Waiver 23D0865942

Centre For Plastic Surgery · Grand Rapids, MI
Active · expires Aug 31, 2026
CLIA Number23D0865942
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorPatty Bakker
Laboratory Phone(616) 454-1256
Laboratory LocationCentre For Plastic Surgery2060 East Paris, SE #150, Grand Rapids, MI 49546
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

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

Dentist
426 MICHIGAN ST, SUITE 207
GRAND RAPIDS, MI 49503

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 Grand Rapids Plastic Surgery Plc's NPI number?

The NPI number for Grand Rapids Plastic Surgery Plc is 1184815417. It was assigned to this organization in the NPPES registry on August 1, 2007. The provider is doing business as Centre For Plastic Surgery.

Where is Grand Rapids Plastic Surgery Plc located?

Grand Rapids Plastic Surgery Plc is located at 426 Michigan St Ste 300, Grand Rapids, MI 49503. The listed phone number is (616) 454-1256.

What is Grand Rapids Plastic Surgery Plc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Grand Rapids Plastic Surgery Plc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0865942) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Grand Rapids Plastic Surgery Plc accept?

Health plans from Priority Health list Grand Rapids Plastic Surgery Plc 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 Grand Rapids Plastic Surgery Plc was last updated on August 1, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.