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BROOKVILLE PEDIATRIC & INTERNAL MEDICINE, PC
NPI 1346200847
Pediatrics in Wyoming, MI

Active since March 27, 2006CLIA Certified · 2 labs
1200 56TH ST SW, WYOMING, MI 49509(616) 243-5707(616) 243-1170 Get Directions Write a Review

NPPES record last updated: April 7, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brookville Pediatric & Internal Medicine, Pc NPPES

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

BROOKVILLE PEDIATRIC & INTERNAL MEDICINE, PC (NPI 1346200847) is a healthcare organization registered as a pediatrics in Wyoming, Michigan and active in the NPI registry since March 2006. The organization holds 2 active CLIA laboratory certificates and lists April A. Keizer, Administrative Manag, as its authorized official.

NPPES Registry Identity

NPI1346200847
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameBROOKVILLE PEDIATRIC & INTERNAL MEDICINE, PC
Location Address1200 56TH ST SWWyoming, MI 49509
Mailing Address8485 Algoma AveRockford, MI 49341 · (616) 243-5707 · Fax (616) 243-1170
Phone(616) 243-5707
Fax(616) 243-1170
Organization SubpartNo
Authorized OfficialApril A. KeizerAdministrative Manag · (616) 514-3805
Enumeration DateMarch 27, 2006
Last NPPES UpdateApril 7, 2014
✔ NPI 1346200847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedInternal MedicineTaxonomy 207R00000X
1200 56TH ST SW, Wyoming, MI 49509
Open in Google Maps ↗

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.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 Waiver 23D2039343

Brookville Pediatric & Internal Medicine · Rockford, MI
Active · expires Apr 5, 2028
CLIA Number23D2039343
Laboratory TypePhysician Office
Certificate Effective DateApril 6, 2026
Certificate Expiration DateApril 5, 2028
Laboratory DirectorRebecca L. Maki
Laboratory Phone(616) 863-6220
Laboratory LocationBrookville Pediatric & Internal Medicine8485 Algoma Ave, Rockford, MI 49341
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 23D0721269

Brookville Pediatric And Internal Medicine · Wyoming, MI
Active · expires Jun 27, 2027
CLIA Number23D0721269
Laboratory TypePhysician Office
Certificate Effective DateJune 28, 2025
Certificate Expiration DateJune 27, 2027
Laboratory DirectorRebecca L. Maki
Laboratory Phone(616) 243-5707
Laboratory LocationBrookville Pediatric And Internal Medicine1200 56th Street SW, Wyoming, MI 49509
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

HANNAH GAGNEUR
Technician/Technologist
1200 56TH ST SW
WYOMING, MI 49509
Kent County (269) 312-0365
DR. JANET F JOHNS M.D.
Pediatrics
1200 56TH ST SW
WYOMING, MI 49509
Kent County (616) 514-3803
DR. REBECCA L. MAKI M.D.
Pediatrics
1200 56TH ST SW
WYOMING, MI 49509
Kent County (616) 243-5707
DR. JAMIE D. BOSCH M.D.
Pediatrics
1200 56TH ST SW
WYOMING, MI 49509
Kent County (616) 243-5707
MRS. LINNELLE ANNE VELDHOUSE MD
Internal Medicine
1200 56TH ST SW
WYOMING, MI 49509
Kent County (616) 243-5707
DR. DWAYNE L.. COOK M.D.
Internal Medicine
1200 56TH ST SW
WYOMING, MI 49509
Kent County (616) 243-5707
DR. JENIFER K.. YOUNGS D.O.
Pediatrics
1200 56TH ST SW
WYOMING, MI 49509
Kent County (616) 243-5707
KELLY RICHARDSON MD05/
Internal Medicine (Adolescent Medicine)
1200 56TH ST SW
WYOMING, MI 49509
Kent County (616) 243-5707

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 Brookville Pediatric & Internal Medicine, PC's NPI number?

The NPI number for Brookville Pediatric & Internal Medicine, PC is 1346200847. It was assigned to this organization in the NPPES registry on March 27, 2006.

Where is Brookville Pediatric & Internal Medicine, PC located?

Brookville Pediatric & Internal Medicine, PC is located at 1200 56th St SW, Wyoming, MI 49509. The listed phone number is (616) 243-5707.

What is Brookville Pediatric & Internal Medicine, PC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Brookville Pediatric & Internal Medicine, PC 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 Brookville Pediatric & Internal Medicine, PC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Brookville Pediatric & Internal Medicine, PC 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 Brookville Pediatric & Internal Medicine, PC was last updated on April 7, 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.