DR. BRIAN R LANE (NPI# 1588787006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588787006 |
| Entity Type | Individual |
| Full Name | DR. BRIAN R LANE |
| Credential | MD |
| Practice Address |
4069 Lake Dr Se Ste. 313 Grand Rapids MI 49546-8816 |
| Mailing Address |
100 Michigan St Ne Mc845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 6167749333 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2011-02-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 4301094057 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720103880 | Brian Thomas Lane | Counselor | 40 Bergen Ave, Waldwick, NJ 07463-1936 | 2007-03-20 |
| 1376687962 | Brian J Lane | Chiropractor | 128 Exeter Rd, Newmarket, NH 03857-2031 | 2007-02-16 |
| 1710072277 | Brian Lane | Dentist | 17 Eagle Park, Vilonia, AR 72173 | 2006-10-03 |
| 1689686578 | Brian E Lane | Physician Assistant | 47 W Owens Ave, North Las Vegas, NV 89030-6865 | 2006-08-12 |
| 1073540118 | Brian William Lane | Emergency Medicine | 1201 N Elm, Prineville, OR 97754 | 2006-06-26 |
| 1710928932 | Brian M Lane | Dentist | 1601 Paseo San Luis, Suite 103, Sierra Vista, AZ 85635-4779 | 2006-06-09 |
| 1447213319 | Brian Christopher Lane | Chiropractor | 6126 Lovers Ln, Portage, MI 49002-3026 | 2006-04-10 |
| 1427434471 | Brian Lane | Social Worker | 800 Cummings Ctr, Suite 364-u, Beverly, MA 01915-6175 | 2015-07-31 |
| 1356674626 | Brian Robert Lane | Physical Medicine & Rehabilitation | 8701 Cuyamaca St, Santee, CA 92071 | 2009-09-17 |
| 1457490732 | Brian Colby Lane | Chiropractor | 407 S Clairborne Rd, Suite 201, Olathe, KS 66062-1744 | 2007-02-05 |
| Street Address |
4069 LAKE DR SE STE. 313 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546-8816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811983000 | Spectrum Health | Durable Medical Equipment & Medical Supplies | 4069 Lake Dr Se, Suite 210, Grand Rapids, MI 49546-8816 | 2005-09-22 |
| 1184070807 | Danielle Wentworth | Audiologist | 4069 Lake Dr Se, Suite 315, Grand Rapids, MI 49546-8816 | 2016-05-12 |
| 1205253424 | Elizabeth House | Physician Assistant | 4069 Lake Dr Se, Suite 312, Grand Rapids, MI 49546-8816 | 2014-03-26 |
| 1043655780 | Spectrum Health Primary Care Partners | Nutritionist | 4069 Lake Dr Se, Ste. 315, Grand Rapids, MI 49546-8816 | 2013-05-08 |
| 1790025898 | George Torao Sugiyama | Surgery | 4069 Lake Dr Se, Suite 312, Grand Rapids, MI 49546-8816 | 2013-02-26 |
| 1639442791 | Debra Ann West | Audiologist | 4069 Lake Dr Se, Suite 315, Grand Rapids, MI 49546-8816 | 2012-02-20 |
| 1982976924 | Ashley Lucas | Physician Assistant | 4069 Lake Dr Se, Suite 117, Grand Rapids, MI 49546-8816 | 2012-02-07 |
| 1861762122 | Carley Therese Flegler | Physician Assistant | 4069 Lake Dr Se, Suite 313, Grand Rapids, MI 49546-8816 | 2012-01-04 |
| 1013227156 | Spectrum Health Primary Care Partners | Durable Medical Equipment & Medical Supplies | 4069 Lake Dr Se, Suite 315, Grand Rapids, MI 49546-8816 | 2010-10-07 |
| 1285944322 | Spectrum Health Primary Care Partners | Durable Medical Equipment & Medical Supplies | 4069 Lake Dr Se, Suite 314, Grand Rapids, MI 49546-8816 | 2010-10-07 |
| Find all providers in the same location | ||||
| 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 | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750678264 | Michael Kozminski | Urology | 245 Cherry St Se Ste 202, Grand Rapids, MI 49503-4607 | 2011-07-05 |
| 1003013392 | Erik M Ratchford | Urology | 245 Cherry St Se, Suite 202, Grand Rapids, MI 49503-4607 | 2007-06-29 |
| 1255537056 | Naveed Naeem | Urology | 161 Ottawa Ave Nw Ste 300, Grand Rapids, MI 49503-2701 | 2007-06-27 |
| 1467561480 | Urology Surgeons PC | Urology | 1000 E Paris Ave Se Ste 230, Grand Rapids, MI 49546-3680 | 2006-08-30 |
| 1467497495 | John Harrison Kopchick | Urology | 2240 Teal Ct Se, Grand Rapids, MI 49546-7939 | 2006-06-16 |
| 1093755092 | Richard Kahnoski | Urology | 4069 Lake Dr Se Ste 313, Grand Rapids, MI 49546-8816 | 2006-06-07 |
| 1376501502 | Thomas J Maatman | Urology | 4047 E. Hills Court Se, Grand Rapids, MI 49546-6249 | 2006-05-04 |
| 1972596823 | Russell K Lawson | Urology | 1601 Golf Course Road, Grand Rapids, MN 55744 | 2005-08-25 |
| 1366853293 | Conrad Maxwell Tobert | Urology | 4069 Lake Dr Se Ste 313, Grand Rapids, MI 49546-8816 | 2014-05-14 |
| 1528403235 | George Michael Ghareeb | Urology | 4069 Lake Dr Se Ste 313, Grand Rapids, MI 49546-8816 | 2013-05-08 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
Please comment or provide details below to improve the information on DR. BRIAN R LANE.
| 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.