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BOREALIS PLASTIC SURGERY, PLLC
NPI 1760777684
Surgery - Plastic and Reconstructive Surgery in Traverse City, MI

Active since June 20, 2011
4977 SKYVIEW CT, TRAVERSE CITY, MI 49684(231) 421-6599(231) 421-6602 Get Directions Write a Review

NPPES record last updated: August 3, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Borealis Plastic Surgery, Pllc NPPES

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

BOREALIS PLASTIC SURGERY, PLLC (NPI 1760777684) is a healthcare organization registered as a plastic and reconstructive surgery in Traverse City, Michigan and active in the NPI registry since June 2011. The organization lists Adam Bryant Smith, Physician, as its authorized official.

NPPES Registry Identity

NPI1760777684
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameBOREALIS PLASTIC SURGERY, PLLC
Location Address4977 SKYVIEW CTTraverse City, MI 49684-6941
Mailing Address4977 Skyview CtTraverse City, MI 49684-6941 · (231) 421-6599 · Fax (231) 421-6602
Phone(231) 421-6599
Fax(231) 421-6602
Organization SubpartNo
Authorized OfficialAdam Bryant SmithPhysician · (231) 421-6599
Enumeration DateJune 20, 2011
Last NPPES UpdateAugust 3, 2011
✔ NPI 1760777684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in MI · 4301084224
Definition
A surgeon who specializes in plastic and reconstructive surgery.
4977 SKYVIEW CT, Traverse City, MI 49684
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

FOCUS CHIROPRACTIC PLLC
Chiropractor
4977 SKYVIEW CT
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 943-1058
DR. NIKOLAS VANCE DC
Chiropractor
4977 SKYVIEW CT
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 943-1058
TRAVERSE BAY INTERNAL MEDICINE PC
Internal Medicine
4977 SKYVIEW CT
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 947-0673
ANGELA POHL DO
Internal Medicine
4977 SKYVIEW CT
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 486-5516
MR. ROBERT LEON PACER MD
Internal Medicine
4977 SKYVIEW CT
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 486-5516

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 Borealis Plastic Surgery, PLLC's NPI number?

The NPI number for Borealis Plastic Surgery, PLLC is 1760777684. It was assigned to this organization in the NPPES registry on June 20, 2011.

Where is Borealis Plastic Surgery, PLLC located?

Borealis Plastic Surgery, PLLC is located at 4977 Skyview Ct, Traverse City, MI 49684. The listed phone number is (231) 421-6599.

What is Borealis Plastic Surgery, PLLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

When was this NPI record last updated?

The NPPES record for Borealis Plastic Surgery, PLLC was last updated on August 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.