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MR. BRADLEY PAUL BENGTSON M.D.
NPI 1447254867
Plastic Surgery in Grand Rapids, MI

Active since June 13, 2005
220 LYON ST NW, STE 700, GRAND RAPIDS, MI 49503(616) 451-4500(616) 451-9077 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Bradley Paul Bengtson M.d. NPPES

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

MR. BRADLEY PAUL BENGTSON M.D. (NPI 1447254867) is an individual plastic surgery provider in Grand Rapids, Michigan, licensed in Michigan (4301407033) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1447254867
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameMR. BRADLEY PAUL BENGTSONCredential: M.D.
Location Address220 LYON ST NW, STE 700Grand Rapids, MI 49503-2210
Mailing Address220 Lyon St Nw, Ste 700Grand Rapids, MI 49503-2210 · (616) 451-4500 · Fax (616) 451-9077
Phone(616) 451-4500
Fax(616) 451-9077
Sole ProprietorNo
Enumeration DateJune 13, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1447254867 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 · 4301407033
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.
220 LYON ST NW, Grand Rapids, MI 49503
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Other Identifiers 3

Medicare ID-Type Unspecified16082006MI
Medicaid2746571MI
Medicare UPINB48288MI

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.

MR. STEVEN LOREN RINGLER M.D.
Plastic Surgery
220 LYON ST NW, STE 700
GRAND RAPIDS, MI 49503
Kent County (616) 451-4500
PLASTIC SURGERY ASSOCIATES PC
Plastic Surgery
220 LYON ST NW, SUITE 700
GRAND RAPIDS, MI 49503
Kent County (616) 451-4500
DR. DAVID R ALFONSO M.D.
Plastic Surgery
220 LYON ST NW, SUITE 700
GRAND RAPIDS, MI 49503
Kent County (616) 451-4500
MR. DOUGLAS LEE VANDER WOUDE MD
Plastic Surgery
220 LYON ST NW, STE 700
GRAND RAPIDS, MI 49503
Kent County (616) 451-4500
MR. WILLIAM DAVID MOORE M.D.
Plastic Surgery
220 LYON ST NW, STE 700
GRAND RAPIDS, MI 49503
Kent County (616) 451-4500
MR. JOHN DAVID RENUCCI M.D.
Plastic Surgery
220 LYON ST NW, STE 700
GRAND RAPIDS, MI 49503
Kent County (616) 451-4500
PLASTIC SURGERY ASSOCIATES PC
Clinic/Center (Ambulatory Surgical)
220 LYON ST NW, SUITE 700
GRAND RAPIDS, MI 49503
Kent County (616) 451-4500
MR. DAVID ARTHUR VANDERWALL M.D.
Plastic Surgery
220 LYON ST NW, STE 700
GRAND RAPIDS, MI 49503
Kent County (616) 451-4500

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 Bengtson's NPI number?

The NPI number for Bradley Bengtson is 1447254867. It was assigned to this individual provider in the NPPES registry on June 13, 2005.

Where is Bradley Bengtson located?

Bradley Bengtson practices at 220 Lyon St NW Ste 700, Grand Rapids, MI 49503. The listed phone number is (616) 451-4500.

What is Bradley Bengtson'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 Bradley Bengtson was last updated on July 8, 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.