BRODE LEE BREUKER MD
NPI 1861187700
Emergency Medicine in Grand Rapids, MI

Active since April 06, 2023PECOS Enrolled
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503(616) 391-1680 Get Directions Write a Review

NPPES record last updated: June 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brode Lee Breuker Md NPPES

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

BRODE LEE BREUKER MD (NPI 1861187700) is an individual emergency medicine provider in Grand Rapids, Michigan, licensed in Michigan (4351051278) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861187700
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameBRODE LEE BREUKERCredential: MD
Location Address100 MICHIGAN ST NEGrand Rapids, MI 49503-2560
Mailing Address100 Michigan St NeGrand Rapids, MI 49503-2560 · (616) 391-1680
Sole ProprietorNo
Enumeration DateApril 6, 2023
Last NPPES UpdateJune 27, 2023
NPPES CertifiedJune 27, 2023
NPI 1861187700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in MI · 4351051278
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
100 MICHIGAN ST NE, Grand Rapids, MI 49503

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Brode Lee Breuker Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Internal Medicine
100 MICHIGAN ST NE, SUITE A721
GRAND RAPIDS, MI 49503
Anesthesiology
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Internal Medicine
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Physical Therapist
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Anesthesiology
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Emergency Medicine
100 MICHIGAN ST NE, MC 71
GRAND RAPIDS, MI 49503
Emergency Medicine
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Physician Assistant
100 MICHIGAN ST NE, SUITE 8861
GRAND RAPIDS, MI 49503

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 Brode Breuker's NPI number?

The NPI number for Brode Breuker is 1861187700. It was assigned to this individual provider in the NPPES registry on April 6, 2023.

Where is Brode Breuker located?

Brode Breuker practices at 100 Michigan St NE, Grand Rapids, MI 49503. The listed phone number is (616) 391-1680.

What is Brode Breuker's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Brode Breuker enrolled in Medicare?

Yes. Brode Breuker is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brode Breuker was last updated on June 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.