Bradley R Wernette (NPI# 1063762730, PAC ID# 1456586577) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1063762730 |
| PAC ID by PECOS | 1456586577 |
| Professional Enrollment ID | I20131028000241 |
| Full Name | Bradley R Wernette |
| Organization Legal Name | GREAT LAKES NEUROSURGICAL ASSOCIATES PC |
| Address |
414 Plymouth Ave Ne Grand Rapids MI 49505-6038 |
| Phone Number | 6164543465 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5890691182 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230236 | METRO HEALTH HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 414 Plymouth Ave Ne, Grand Rapids, MI 49505-6038 | 6164543465 | GREAT LAKES NEUROSURGICAL ASSOCIATES PC |
| Organization Legal Name | GREAT LAKES NEUROSURGICAL ASSOCIATES PC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Todd Douglas Vogel | Neurosurgery | Great Lakes Neurosurgical Associates PC | 414 Plymouth Ave Ne, Grand Rapids, MI 49505-6038 |
| Brent J Benso | Physician Assistant | Great Lakes Neurosurgical Associates PC | 414 Plymouth Ave Ne, Grand Rapids, MI 49505-6038 |
| Patrick J Oconnor | Physician Assistant | Great Lakes Neurosurgical Associates PC | 414 Plymouth Ave Ne, Grand Rapids, MI 49505-6038 |
| Marcia A Fitzgerald | Physician Assistant | Great Lakes Neurosurgical Associates PC | 414 Plymouth Ave Ne, Grand Rapids, MI 49505-6038 |
| Justin C Clark | Neurosurgery | Great Lakes Neurosurgical Associates PC | 414 Plymouth Ave Ne, Grand Rapids, MI 49505-6038 |
| Lisa M Wright | Physician Assistant | Great Lakes Neurosurgical Associates PC | 414 Plymouth Ave Ne, Grand Rapids, MI 49505-6038 |
| John F Keller | Neurosurgery | Great Lakes Neurosurgical Associates PC | 414 Plymouth Ave Ne, Grand Rapids, MI 49505-6038 |
| Kevin S Chen | Neurosurgery | Great Lakes Neurosurgical Associates PC | 414 Plymouth Ave Ne, Grand Rapids, MI 49505-6038 |
| Bryan E Figueroa | Neurosurgery | Great Lakes Neurosurgical Associates PC | 414 Plymouth Ave Ne, Grand Rapids, MI 49505-6038 |
| Street Address |
414 PLYMOUTH AVE NE |
| City | GRAND RAPIDS |
| State | MI |
| Zip | 49505-6038 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Todd Douglas Vogel | Neurosurgery | Great Lakes Neurosurgical Associates PC | 414 Plymouth Ave Ne, Grand Rapids, MI 49505-6038 |
| Brent J Benso | Physician Assistant | Great Lakes Neurosurgical Associates PC | 414 Plymouth Ave Ne, Grand Rapids, MI 49505-6038 |
| Patrick J Oconnor | Physician Assistant | Great Lakes Neurosurgical Associates PC | 414 Plymouth Ave Ne, Grand Rapids, MI 49505-6038 |
| Marcia A Fitzgerald | Physician Assistant | Great Lakes Neurosurgical Associates PC | 414 Plymouth Ave Ne, Grand Rapids, MI 49505-6038 |
| Justin C Clark | Neurosurgery | Great Lakes Neurosurgical Associates PC | 414 Plymouth Ave Ne, Grand Rapids, MI 49505-6038 |
| Lisa M Wright | Physician Assistant | Great Lakes Neurosurgical Associates PC | 414 Plymouth Ave Ne, Grand Rapids, MI 49505-6038 |
| John F Keller | Neurosurgery | Great Lakes Neurosurgical Associates PC | 414 Plymouth Ave Ne, Grand Rapids, MI 49505-6038 |
| Kevin S Chen | Neurosurgery | Great Lakes Neurosurgical Associates PC | 414 Plymouth Ave Ne, Grand Rapids, MI 49505-6038 |
| Bryan E Figueroa | Neurosurgery | Great Lakes Neurosurgical Associates PC | 414 Plymouth Ave Ne, Grand Rapids, MI 49505-6038 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly F Hodor | Nurse Practitioner | Medexpress Urgent Care PC - Michigan | 3100 Plainfield Ave Ne, Medexpress Urgent Care PC Grand Rapids, Grand Rapids, MI 49505-3261 |
| Rony C Thomas | Physical Therapy | Therapy Management Inc | 3000 Monroe Ave Ne, Grand Rapids, MI 49505-3313 |
| Tonia D Kroll | Nurse Practitioner | State of Michigan | 3000 Monroe Ave Ne, Grand Rapids, MI 49505-3313 |
| Mandisa Grable | Occupational Therapy | Therapy Management Inc | 3000 Monroe Ave Ne, Grand Rapids, MI 49505-3313 |
| Jenny Eshleman-hall Gibb | Physical Therapy | Therapy Management Inc | 3000 Monroe Ave Ne, Grand Rapids, MI 49505-3313 |
| Whitney J Stutso | Qualified Speech Language Pathologist | Therapy Management Inc | 3000 Monroe Ave Ne, Grand Rapids, MI 49505-3313 |
| Margaret C Pierce | Qualified Speech Language Pathologist | Therapy Management Inc | 3000 Monroe Ave Ne, Grand Rapids, MI 49505-3313 |
| Norman A Weber | Osteopathic Manipulative Medicine | State of Michigan | 3000 Monroe Ave Ne, Grand Rapids, MI 49505-3313 |
| Elana Kosofsky | Qualified Speech Language Pathologist | Therapy Management Inc | 3000 Monroe Ave Ne, Grand Rapids, MI 49505-3313 |
| Saxony A Matousek | Physical Therapy | Therapy Management Inc | 3000 Monroe Ave Ne, Grand Rapids, MI 49505-3313 |
| Find all physicians in zip 49505 | |||
| City | GRAND RAPIDS |
| Zip Code | 49505 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | GRAND RAPIDS + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Bradley R Wernette.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.