BRIGHTWAVE PAIN THERAPY, PC
NPI 1962062703
Clinic/Center - Pain in Grand Rapids, MI

Q: What is Brightwave Pain Therapy, PC's NPI number?

The NPI number for Brightwave Pain Therapy, PC is 1962062703. It was assigned to this organization in the NPPES registry on June 14, 2019. The provider is doing business as BrightWave Pain Therapy.

Q: What is Brightwave Pain Therapy, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Pain, with taxonomy code 261QP3300X.

Active since June 14, 2019

751 KENMOOR AVE SE, GRAND RAPIDS, MI 49546(616) 608-5551 Get Directions Write a Review

NPPES record last updated: June 14, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Brightwave Pain Therapy, Pc NPPES

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

BRIGHTWAVE PAIN THERAPY, PC (NPI 1962062703), doing business as Brightwave Pain Therapy, is a healthcare organization registered as a pain in Grand Rapids, Michigan and active in the NPI registry since June 2019. The organization lists Donald E Willman, President, as its authorized official.

NPPES Registry Identity

NPI1962062703

Entity TypeOrganization

Primary Taxonomy261QP3300X

Legal Business NameBRIGHTWAVE PAIN THERAPY, PC

Location Address751 KENMOOR AVE SEGrand Rapids, MI 49546-2388

Mailing Address751 Kenmoor Ave SeGrand Rapids, MI 49546-2388 · (616) 608-5551

Phone(616) 608-5551

Organization SubpartNo

Authorized OfficialDonald E WillmanPresident · (616) 608-5551

Enumeration DateJune 14, 2019

✔ NPI 1962062703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · PainAmbulatory Health Care Facilities

Taxonomy Code261QP3300X

751 KENMOOR AVE SE, Grand Rapids, MI 49546

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Other Names 1

Doing Business AsBrightwave Pain Therapy

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.

MRS. CATHERINE M LISENBEE M.A.,CCC-A

Audiologist (Assistive Technology Practitioner)

751 KENMOOR AVE SE, SUITE B
GRAND RAPIDS, MI 49546

Kent County (616) 954-1895

MRS. ROSEANN DONEY ATC, PTA

Physical Therapy Assistant

751 KENMOOR AVE SE, SUITE H
GRAND RAPIDS, MI 49546

Kent County (616) 975-9078

DEFOE JAMES EDGERLE D.D.S.

Dentist (General Practice)

751 KENMOOR AVE SE, SUITE G
GRAND RAPIDS, MI 49546

Kent County (616) 949-4272

MR. RAVIKUMAR K SHUKLA RPT

Physical Therapist

751 KENMOOR AVE SE, SUITE # E
GRAND RAPIDS, MI 49546

Kent County (616) 954-7013

INTERNAL MEDICINE AND PEDIATRICS OF WEST MICHIGAN, LLC

Internal Medicine

751 KENMOOR AVE SE
GRAND RAPIDS, MI 49546

Kent County (616) 363-7690

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 Brightwave Pain Therapy, PC's NPI number?

The NPI number for Brightwave Pain Therapy, PC is 1962062703. It was assigned to this organization in the NPPES registry on June 14, 2019. The provider is doing business as BrightWave Pain Therapy.

Where is Brightwave Pain Therapy, PC located?

Brightwave Pain Therapy, PC is located at 751 Kenmoor Ave SE, Grand Rapids, MI 49546. The listed phone number is (616) 608-5551.

What is Brightwave Pain Therapy, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Pain, with taxonomy code 261QP3300X.

When was this NPI record last updated?

The NPPES record for Brightwave Pain Therapy, PC was last updated on June 14, 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.