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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.

BROOKE ELIZABETH WIETHARN MD
NPI 1689419087
Surgery in Grand Rapids, MI

Active since June 27, 2024
200 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503(616) 685-6922(616) 685-5192 Get Directions Write a Review

NPPES record last updated: September 2, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Sep 2, 2026, Jun 27, 2024 (2 updates tracked since 2024).

About Brooke Elizabeth Wietharn Md NPPES

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

BROOKE ELIZABETH WIETHARN MD (NPI 1689419087) is an individual surgery provider in Grand Rapids, Michigan, licensed in Missouri (2024025232) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1689419087
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameBROOKE ELIZABETH WIETHARNCredential: MD
Location Address200 JEFFERSON AVE SEGrand Rapids, MI 49503-4502
Mailing Address1 Hospital DrColumbia, MO 65212-1000
Phone(616) 685-6922
Fax(616) 685-5192
Sole ProprietorNo
Enumeration DateJune 27, 2024
Last NPPES UpdateSeptember 2, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2026
✔ NPI 1689419087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MO · 2024025232
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
200 JEFFERSON AVE SE, Grand Rapids, MI 49503
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Other Providers at the Same Location NPPES 20

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

KATHARINE LIND THOMPSON PT
Physical Therapist
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 685-6264
ANNE MARIE TALBOT CRNA
Nurse Anesthetist, Certified Registered
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 685-6063
DR. ADAM MICHAEL ANDERSON MD
Emergency Medicine
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 685-5000
MARIA E DIMUSTO-POORTENGA MD
Pediatrics (Neonatal-Perinatal Medicine)
200 JEFFERSON AVE SE, NICU
GRAND RAPIDS, MI 49503
Kent County (616) 752-6554
THE BOUTIQUE AT MERCY HEALTH LACKS CANCER CENTER
Durable Medical Equipment & Medical Supplies
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 685-5030
MELISSA SUE HUDECZ MS, OTR/L
Occupational Therapist
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 685-6264
TIMOTHY RUSSELL LEONARD
Nurse Practitioner (Family)
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 465-5910
CAMRIA RENEE DEATON BSN, RN
Registered Nurse
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 685-5000

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 Brooke Wietharn's NPI number?

The NPI number for Brooke Wietharn is 1689419087. It was assigned to this individual provider in the NPPES registry on June 27, 2024.

Where is Brooke Wietharn located?

Brooke Wietharn practices at 200 Jefferson Ave SE, Grand Rapids, MI 49503. The listed phone number is (616) 685-6922.

What is Brooke Wietharn's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Brooke Wietharn was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.