DR. SCOTT R BRUNDAGE (NPI# 1265597223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265597223 |
| Entity Type | Individual |
| Full Name | DR. SCOTT R BRUNDAGE |
| Credential | MD |
| Practice Address |
2060 East Paris Avenue Se Suite 150 Grand Rapids MI 49546 |
| Practice Telephone | 6164541256 |
| Practice Fax Number | 6164540308 |
| Mailing Telephone | 6164541256 |
| Mailing Fax Number | 6164540308 |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2014-02-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 045016 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
2060 EAST PARIS AVENUE SE SUITE 150 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762986 | Amanda Mae Ostrom | Speech-Language Pathologist | 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 | 2020-08-25 |
| 1063075562 | Kelly Lynn Ibarra | Counselor | 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 | 2019-04-19 |
| 1891257036 | Jessica Matthews LLC | Counselor | 4127 Embassy Drive Se, Grand Rapids, MI 49546 | 2019-04-05 |
| 1326518531 | Neah Morgan | Technician | 4220 Burton St Se, Grand Rapids, MI 49546 | 2018-11-29 |
| 1316430267 | Michael John Benskey | Case Manager/Care Coordinator | 4065 Saladin St Se, Grand Rapids, MI 49546 | 2018-06-14 |
| 1679062772 | Smile Cascade, P.C. | Clinic/Center | 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 | 2018-05-03 |
| 1720583289 | Jeromy Krogman | Counselor | 826 Parchment Drive Se, Grand Rapids, MI 49546 | 2018-03-27 |
| 1841792660 | Affordable Hearing Clinic | Hearing Instrument Specialist | 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 | 2018-03-07 |
| 1689176133 | Kelly Pines | Physical Therapist | 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 | 2018-03-01 |
| 1467971440 | Deanna Elizabeth Saenz | Social Worker | 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 | 2017-09-12 |
| Find all providers in zip 49546 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891109971 | John Philip Kelpin Jr. | Plastic Surgery | 221 Michigan St Ne # Mc106, Suite 200a, Grand Rapids, MI 49503-2543 | 2014-06-17 |
| 1730527326 | Advanced Plastic Surgery, PC | Plastic Surgery | 4551 Cascade Rd Se, Suite D, Grand Rapids, MI 49546-8372 | 2013-06-05 |
| 1346484367 | Cosmetic and Plastic Surgery of Michigan PC | Plastic Surgery | 2680 Leonard St Ne Ste 4, Grand Rapids, MI 49525-6902 | 2009-04-21 |
| 1194979039 | Plastic Surgery Specialists, Pllc | Plastic Surgery | 2060 E. Paris, Suite 110, Grand Rapids, MI 49546 | 2008-11-05 |
| 1477534931 | John William Polley | Plastic Surgery | 35 Michigan St Ne Ste 5201, Grand Rapids, MI 49503-2514 | 2005-11-10 |
| 1922002419 | David Arthur Vanderwall | Plastic Surgery | 220 Lyon St Nw, Ste 700, Grand Rapids, MI 49503-2210 | 2005-06-13 |
| 1235791005 | Mitchell Ronald Gauger | Plastic Surgery | 221 Michigan St Ne Ste 300, Grand Rapids, MI 49503 | 2019-07-02 |
| 1780245803 | Joseph William Gorvetzian | Plastic Surgery | 221 Michigan St Ne Ste 300, Grand Rapids, MI 49503-2537 | 2019-06-28 |
| 1346734654 | Olivia Cassie Means | Plastic Surgery | 221 Michigan St Ne Ste 300, Grand Rapids, MI 49503-2537 | 2018-06-20 |
| 1205323102 | Arminder Singh Kaura | Plastic Surgery | 221 Michigan St Ne Ste 300, Grand Rapids, MI 49503 | 2018-04-16 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
Please comment or provide details below to improve the information on DR. SCOTT R BRUNDAGE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.