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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BRADLEY D BASTOW D.O.
NPI 1346221082
Internal Medicine - Cardiovascular Disease in South Haven, MI

Active since November 09, 2005
950 BLUE STAR HWY, SUITE 1-2, SOUTH HAVEN, MI 49090(269) 637-1388(269) 637-1459 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bradley D Bastow D.o. NPPES

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

BRADLEY D BASTOW D.O. (NPI 1346221082) is an individual cardiovascular disease provider in South Haven, Michigan, licensed in Michigan (5101008849) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1346221082
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameBRADLEY D BASTOWCredential: D.O.
Location Address950 BLUE STAR HWY, SUITE 1-2South Haven, MI 49090-7759
Mailing Address950 Blue Star Hwy, Suite 1-2South Haven, MI 49090-7759 · (269) 637-1388 · Fax (269) 637-1459
Phone(269) 637-1388
Fax(269) 637-1459
Sole ProprietorNo
Enumeration DateNovember 9, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1346221082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in MI · 5101008849
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
950 BLUE STAR HWY, South Haven, MI 49090
Open in Google Maps ↗

Other Identifiers 1

Medicaid3449722MI

Other Providers at the Same Location NPPES 2

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

DR. ROBERT EDWARD QUINLAN JR. D.O.
Internal Medicine (Cardiovascular Disease)
950 BLUE STAR HWY, SUITE 1-2
SOUTH HAVEN, MI 49090
Van Buren County (269) 637-1388
CARD PROP CORP
Internal Medicine (Cardiovascular Disease)
950 BLUE STAR HWY, SUITE 1-2
SOUTH HAVEN, MI 49090
Van Buren County (269) 637-1388

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 Bradley Bastow's NPI number?

The NPI number for Bradley Bastow is 1346221082. It was assigned to this individual provider in the NPPES registry on November 9, 2005.

Where is Bradley Bastow located?

Bradley Bastow practices at 950 Blue Star Hwy Suite 1-2, South Haven, MI 49090. The listed phone number is (269) 637-1388.

What is Bradley Bastow's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Bradley Bastow was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.