NEWBERRY MEDICAL, PLLC
NPI 1912175472
Clinic/Center - Primary Care in Holland, MI

Active since February 18, 2008
12930 JAMES ST, SUITE 140, HOLLAND, MI 49424(616) 399-8650(616) 399-8659 Get Directions Write a Review

NPPES record last updated: January 3, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Newberry Medical, Pllc NPPES

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

NEWBERRY MEDICAL, PLLC (NPI 1912175472) is a healthcare organization registered as a primary care in Holland, Michigan and active in the NPI registry since February 2008. The organization lists Mark William Newberry, Owner, as its authorized official.

NPPES Registry Identity

NPI1912175472
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameNEWBERRY MEDICAL, PLLC
Location Address12930 JAMES ST, SUITE 140Holland, MI 49424-8324
Mailing Address12930 James St, Suite 140Holland, MI 49424-8324 · (616) 399-8650 · Fax (616) 399-8659
Fax(616) 399-8659
Organization SubpartNo
Authorized OfficialMark William NewberryOwner · (616) 399-8650
Enumeration DateFebruary 18, 2008
Last NPPES UpdateJanuary 3, 2011
NPI 1912175472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in MI · 4301067531
12930 JAMES ST, Holland, MI 49424

Other Identifiers 2

Medicare PIN0N72390MI
Medicare UPINH59639MI

Other Providers at the Same Location NPPES

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

Counselor (Professional)
12930 JAMES ST
HOLLAND, MI 49424

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 Newberry Medical, PLLC's NPI number?

The NPI number for Newberry Medical, PLLC is 1912175472. It was assigned to this organization in the NPPES registry on February 18, 2008.

Where is Newberry Medical, PLLC located?

Newberry Medical, PLLC is located at 12930 James St Suite 140, Holland, MI 49424. The listed phone number is (616) 399-8650.

What is Newberry Medical, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Newberry Medical, PLLC was last updated on January 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.