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DR. SCOTT R BRUNDAGE MD
NPI 1265597223
Plastic Surgery in Grand Rapids, MI

Active since December 27, 2006
2060 EAST PARIS AVENUE SE, SUITE 150, GRAND RAPIDS, MI 49546(616) 454-1256(616) 454-0308 Get Directions Write a Review

NPPES record last updated: February 3, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Scott R Brundage Md NPPES

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

DR. SCOTT R BRUNDAGE MD (NPI 1265597223) is an individual plastic surgery provider in Grand Rapids, Michigan, licensed in Michigan (045016) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1265597223
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameDR. SCOTT R BRUNDAGECredential: MD
Location Address2060 EAST PARIS AVENUE SE, SUITE 150Grand Rapids, MI 49546
Mailing Address2060 East Paris Avenue Se, Suite 150Grand Rapids, MI 49546 · (616) 454-1256 · Fax (616) 454-0308
Phone(616) 454-1256
Fax(616) 454-0308
Sole ProprietorNo
Enumeration DateDecember 27, 2006
Last NPPES UpdateFebruary 3, 2014
✔ NPI 1265597223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in MI · 045016
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
2060 EAST PARIS AVENUE SE, Grand Rapids, MI 49546
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Other Identifiers 1

Medicare UPINA16496

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 Scott Brundage's NPI number?

The NPI number for Scott Brundage is 1265597223. It was assigned to this individual provider in the NPPES registry on December 27, 2006.

Where is Scott Brundage located?

Scott Brundage practices at 2060 East Paris Avenue SE Suite 150, Grand Rapids, MI 49546. The listed phone number is (616) 454-1256.

What is Scott Brundage's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

When was this NPI record last updated?

The NPPES record for Scott Brundage was last updated on February 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.