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Contact Information

BRADLEY BENGTSON, M.D. PC
555 MIDTOWNE ST NE
SUITE 110
GRAND RAPIDS, MI49503-5729
 Phone: 616-588-8880
 Fax: 616-588-8881
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for BRADLEY BENGTSON, M.D. PC

NPI # 1013234707
LBN Legal business name BRADLEY BENGTSON, M.D. PC
Authorized official BRADLEY BENGTSON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/21/2010
Last updated 04/21/2010 - About 16 years ago
Identifiers
MI License # 4301407033
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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