BRUCE HENRY BAKER (NPI# 1952377566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952377566 |
| Entity Type | Individual |
| Full Name | BRUCE HENRY BAKER |
| Credential | MD |
| Practice Address |
3210 Eagle Run Dr Suite 200 Grand Rapids MI 49525 |
| Mailing Address |
3210 Eagle Run Dr Ne Suite 200 Grand Rapids MI 49525 |
| Practice Telephone | 6169571200 |
| Practice Fax Number | 6169571297 |
| Mailing Telephone | 6169571200 |
| Mailing Fax Number | 6169571297 |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2009-06-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
100005 | MI | Allopathic & Osteopathic Physicians |
| N | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
100005 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4786146 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801122056 | Bruce Henry Baker | Pharmacist | 14761 Kalamath Ct, Westminster, CO 80023-8732 | 2009-10-22 |
| 1811197924 | Bruce Edward Baker | Counselor | 430 East Main St., Batavia, NY 14020 | 2007-07-18 |
| 1356499644 | Bruce B Baker | Dentist | 13422 Pomerado Rd, Ste #201, Poway, CA 92064-3548 | 2007-01-05 |
| 1699832410 | Bruce Arthur Baker | Dentist | 415 N 2nd St, Suite 2 D, Tower, MN 55790-0417 | 2007-01-02 |
| 1285792101 | Bruce Steven Baker | Radiology | 1535 Eaton Ave, San Carlos, CA 94070-4845 | 2006-12-04 |
| 1720150170 | Bruce Edward Baker | Orthopaedic Surgery | 600 East Genesee Street, Suite 117, Syracuse, NY 13202 | 2006-11-14 |
| 1598850836 | Bruce Albert Baker | Dentist | 3901 Main St Ste C, Hilton Head Island, SC 29926-4613 | 2006-10-03 |
| 1518079722 | Bruce K. Baker | Family Medicine | 1408 3rd St Se Ste 200, Puyallup, WA 98372 | 2006-09-01 |
| 1518971647 | Bruce Boardman Baker | Chiropractor | 3388 I 75 Business Spur, Sault Sainte Marie, MI 49783-3605 | 2006-07-27 |
| 1346283926 | Bruce Ronald Baker | Psychiatry & Neurology | 2114 Divisadero St, San Francisco, CA 94115-2127 | 2006-06-13 |
| Street Address |
3210 EAGLE RUN DR SUITE 200 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275709826 | Clyde A Richardson | Counselor | 3210 Eagle Run Dr, Suite 200, Grand Rapids, MI 49525 | 2008-05-05 |
| 1437324506 | Michael K. Kivinen | Psychologist | 3210 Eagle Run Dr, Suite 200, Grand Rapids, MI 49525 | 2008-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053928507 | Therapy With Nicole Pllc | Community/Behavioral Health | 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 | 2020-09-29 |
| 1184242760 | Christian Healthcare Specialists, Inc. | Obstetrics & Gynecology | 3322 Beltline Court Ne, Suite 1, Grand Rapids, MI 49525 | 2020-07-09 |
| 1174154645 | Amy Vanderslik | Case Manager/Care Coordinator | 3310 Eaglecrest Park Dr. Ne, Suite 100, Grand Rapids, MI 49525 | 2020-02-03 |
| 1477195246 | Epic Discoveries LLC | Counselor | 4867 E. Beltline Ave Ne, Grand Rapids, MI 49525 | 2019-10-14 |
| 1598228959 | Kim Scherencel Lmsw Counseling | Social Worker | 3280 Beltline Ne, Grand Rapids, MI 49525 | 2019-04-11 |
| 1821558958 | Mindful Trajectories | Social Worker | 3280 Beltlne Ct Ne, Grand Rapids, MI 49525 | 2019-03-24 |
| 1104380518 | Julianne Lettinga, Ma Lpc Counseling | Counselor | 3280 East Beltline Ct Ne, Grand Rapids, MI 49525 | 2019-01-30 |
| 1396227229 | Christopher Scot Doucette | Social Worker | 2064 Airway St Ne, Grand Rapids, MI 49525 | 2018-09-06 |
| 1568976017 | Amy K. Deyoung, Dds, Ms, PC Pediatric Dentistry | Dentist | 3297 Eagle Run Dr. Ne, Grand Rapids, MI 49525 | 2017-11-20 |
| 1407389604 | Kelly Jo Crabb | Social Worker | 4829 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49525 | 2017-04-05 |
| Find all providers in zip 49525 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376847145 | West Michigan Urgent Care Inc | Family Medicine | 4081 Cascade Rd Se, Ste A, Grand Rapids, MI 49546-2170 | 2011-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740836444 | White Lake Urgent Care | Family Medicine | 9178 Highland Rd Ste 1a, White Lake, MI 48386-4619 | 2019-08-18 |
| 1669665154 | Daniel A. Schwarz | Family Medicine | 18444 W 10 Mile Rd, Suite 102, Southfield, MI 48075-2653 | 2007-08-20 |
| 1134335359 | Jerry Avrum Appel | Family Medicine | 1720 South Hill Blvd, Bloomfield Township, MI 48304-1135 | 2007-05-15 |
| 1417099417 | Bio-med Behavioral Healthcare, Inc. | Family Medicine | 31581 Gratiot Ave, Roseville, MI 48066-4528 | 2007-02-13 |
| 1457469330 | Eric N. Coffman | Family Medicine | 27550 Joy Rd, Livonia, MI 48150-4145 | 2006-08-29 |
| 1598703621 | Carl Woodrow Christensen | Family Medicine | 4870 W Clark Rd Ste 201, Ypsilanti, MI 48197-1104 | 2006-06-02 |
| 1265498059 | Mark Allen Menestrina | Family Medicine | 12851 E Grand River, Brighton Hospital, Brighton, MI 48116-8596 | 2006-04-21 |
| 1790745966 | Douglas Lawrence Marsh | Family Medicine | 18590 Allen Rd, Melvindale, MI 48122-1516 | 2006-03-23 |
| 1689275026 | Lindsey Ruth Mitchell | Family Medicine | 28477 Hoover Rd, Warren, MI 48093-5400 | 2020-11-03 |
| 1568084333 | Great Lakes Addiction Recovery Services Pllc | Family Medicine | 142 E Maumee St, Adrian, MI 49221-2735 | 2020-05-14 |
| Find all providers with the same taxonomy | ||||
| City | GRAND RAPIDS |
| Zip Code | 49525 |
Please comment or provide details below to improve the information on BRUCE HENRY BAKER.
| 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.