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BRETON VILLAGE PEDIATRICS AND FAMILY MEDICINE PC
NPI 1447684857
Pediatrics in Grand Rapids, MI

Active since August 21, 2013CLIA 23D2080933 · Waiver
2460 BURTON ST SE, GRAND RAPIDS, MI 49546(616) 295-5760 Get Directions Write a Review

NPPES record last updated: May 2, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Breton Village Pediatrics And Family Medicine Pc NPPES

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

BRETON VILLAGE PEDIATRICS AND FAMILY MEDICINE PC (NPI 1447684857) is a healthcare organization registered as a pediatrics in Grand Rapids, Michigan and active in the NPI registry since August 2013. The organization holds a CLIA Waiver certificate valid through July 15, 2028 and lists Masuma F Macfield, Pediatrician, as its authorized official.

NPPES Registry Identity

NPI1447684857
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameMACFIELD PEDIATRICS AND FAMILY MEDICINE PC
Location Address2460 BURTON ST SEGrand Rapids, MI 49546-4800
Mailing Address4770 Blackberry Ct Ne, 4770 Blackberry Ct NeGrand Rapids, MI 49525-9495 · (616) 724-4972
Phone(616) 295-5760
Organization SubpartNo
Authorized OfficialMasuma F MacfieldPediatrician · (616) 724-4972
Enumeration DateAugust 21, 2013
Last NPPES UpdateMay 2, 2019
✔ NPI 1447684857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MI · 4301084408
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 ListedFamily MedicineTaxonomy 207Q00000X · License 8305045032 (MI)
2460 BURTON ST SE, Grand Rapids, MI 49546
Open in Google Maps ↗

Other Names 1

Doing Business AsBreton Village Pediatrics And Family Medicine Pc

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 Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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 23D2080933

Breton Village Pediatrics & Family Medicine · Grand Rapids, MI
Active · expires Jul 15, 2028
CLIA Number23D2080933
Laboratory TypePhysician Office
Certificate Effective DateJuly 16, 2026
Certificate Expiration DateJuly 15, 2028
Laboratory DirectorMasuma Macfield
Laboratory Phone(616) 805-3846
Laboratory LocationBreton Village Pediatrics & Family Medicine2460 Burton Street SE, Suite 300, Grand Rapids, MI 49546
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 18

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

CHARLES R SOLON III DPM
Podiatrist
2460 BURTON ST SE, SUITE 200
GRAND RAPIDS, MI 49546
Kent County (616) 774-9571
ALEXANDER M WOLFE
Behavior Technician
2460 BURTON ST SE
GRAND RAPIDS, MI 49546
Kent County (616) 278-1201
ROSS KELSEY
Behavior Analyst
2460 BURTON ST SE
GRAND RAPIDS, MI 49546
Kent County (616) 888-6161
ANNELIESE MARY WOJCIECHOWSKI
Behavior Technician
2460 BURTON ST SE
GRAND RAPIDS, MI 49546
Kent County (616) 278-1201
LINDA MOHNEY MS OTR/L
Occupational Therapist
2460 BURTON ST SE, SUITE 100
GRAND RAPIDS, MI 49546
Kent County (616) 333-2721
MR. TRISTAN JONG DI CESARE
Behavior Technician
2460 BURTON ST SE
GRAND RAPIDS, MI 49546
Kent County (616) 419-4670
CROSWELL PODIATRY PLLC
Podiatrist
2460 BURTON ST SE, SUITE 200
GRAND RAPIDS, MI 49546
Kent County (616) 774-9571
IMANI GRANT JENKINS
Behavior Analyst
2460 BURTON ST SE
GRAND RAPIDS, MI 49546
Kent County (616) 287-1201

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 Macfield Pediatrics And Family Medicine PC's NPI number?

The NPI number for Macfield Pediatrics And Family Medicine PC is 1447684857. It was assigned to this organization in the NPPES registry on August 21, 2013. The provider is doing business as Breton Village Pediatrics And Family Medicine PC.

Where is Macfield Pediatrics And Family Medicine PC located?

Macfield Pediatrics And Family Medicine PC is located at 2460 Burton St SE, Grand Rapids, MI 49546. The listed phone number is (616) 295-5760.

What is Macfield Pediatrics And Family Medicine PC's specialty?

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

Does Macfield Pediatrics And Family Medicine PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2080933) is associated with this NPI, valid through July 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Macfield Pediatrics And Family Medicine PC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Macfield Pediatrics And Family 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 Macfield Pediatrics And Family Medicine PC was last updated on May 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.