BRADLEY ADAM DEMIJOHN MD
NPI 1972066983
Psychiatry & Neurology - Neurology in Grand Rapids, MI

Active since April 08, 2019PECOS EnrolledAccepts Medicare Assignment
3225 N EVERGREEN DR NE, GRAND RAPIDS, MI 49525(616) 364-1500 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 26, 2024, Apr 3, 2024, Apr 8, 2019 (3 updates tracked since 2019).

About Bradley Adam Demijohn Md NPPES

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

BRADLEY ADAM DEMIJOHN MD (NPI 1972066983) is an individual neurology provider in Grand Rapids, Michigan, licensed in Michigan (4301505196) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Grand Rapids, and is a graduate of Central Michigan College Of Medicine (2019).

NPPES Registry Identity

NPI1972066983
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameBRADLEY ADAM DEMIJOHNCredential: MD
Location Address3225 N EVERGREEN DR NEGrand Rapids, MI 49525-9334
Mailing Address300 68th St SeGrand Rapids, MI 49548-6927 · (616) 456-0842 · Fax (616) 559-5864
Sole ProprietorNo
Medical School CMSCentral Michigan College Of MedicineGraduated 2019
Enumeration DateApril 8, 2019
Last NPPES UpdateJune 26, 20243 updates tracked since enumeration
NPPES CertifiedJune 26, 2024
NPI 1972066983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in MI · 4301505196
Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 4351044077 (MI)
Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License 4301505196 (MI)
3225 N EVERGREEN DR NE, Grand Rapids, MI 49525

Secondary Practice Location 1

Location 1300 68th St SEGrand Rapids, MI 49548-6927 · Phone (616) 456-0842 · Fax (616) 559-5864

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Bradley Adam Demijohn Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901131663
PECOS Enrollment IDI20210706000484
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 49525 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
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.

Social Worker (Clinical)
3225 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Social Worker
3225 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Psychiatry & Neurology (Psychiatry)
3225 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Social Worker
3225 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Psychiatry & Neurology (Psychiatry)
3225 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Social Worker (Clinical)
3225 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Psychologist
3225 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Social Worker (Clinical)
3225 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972066983, enumerated as an "individual" on April 08, 2019.

The provider is located at 3225 N EVERGREEN DR NE GRAND RAPIDS, MI 49525 and the phone number is (616) 364-1500.

Psychiatry & Neurology with taxonomy code 2084N0400X and a focus in Neurology.

The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.