BRADLEY BENGTSON, M.D. PC (NPI# 1013234707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013234707 |
| Entity Type | Organization |
| Organization Name | BRADLEY BENGTSON, M.D. PC |
| Other Organization Name | BENGTSON CENTER FOR AESTHETICS AND PLASTIC SURGERY |
| Practice Address |
555 Midtowne St Ne Suite 110 Grand Rapids MI 49503-5729 |
| Practice Telephone | 6165888880 |
| Practice Fax Number | 6165888881 |
| Mailing Telephone | 6165888880 |
| Mailing Fax Number | 6165888881 |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2010-04-21 |
| Authorized Official Name | DR. BRADLEY BENGTSON (OWNER) |
| Authorized Official Telephone | 6165888880 |
| Authorized Official Credential | M.D., FACS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 4301407033 | MI | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Bengtson Center for Aesthetics and Plastic Surgery | Doing Business As Name - Organization |
| Street Address |
555 MIDTOWNE ST NE SUITE 110 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503-5729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235133992 | Michelle A Klyn | Obstetrics & Gynecology | 555 Midtowne St Ne, Ste 450, Grand Rapids, MI 49503 | 2005-06-10 |
| 1154761773 | Orthopaedic Associates of Grand Rapids, PC | Orthopaedic Surgery | 555 Midtowne St Ne, Suite 105, Grand Rapids, MI 49503-5729 | 2013-06-27 |
| 1245572007 | Pennant Physician Services | Pediatrics | 555 Midtowne St Ne, Suite 310, Grand Rapids, MI 49503-5729 | 2013-03-20 |
| 1467798231 | Roxanne Kay Cornelius | Physician Assistant | 555 Midtowne St Ne, Suite 110, Grand Rapids, MI 49503-5729 | 2012-12-21 |
| 1780933432 | Dermatology At Midtowne, PC | Dermatology | 555 Midtowne St Ne, Suite 301, Grand Rapids, MI 49503-5729 | 2012-09-09 |
| 1912265521 | Amy Marie Strikwerda | Dermatology | 555 Midtowne St Ne, Suite 301, Grand Rapids, MI 49503-5729 | 2012-05-02 |
| 1720390511 | Heather Jereb | Obstetrics & Gynecology | 555 Midtowne St Ne, Suite 400, Grand Rapids, MI 49503-5731 | 2010-07-08 |
| 1235441262 | Spectrum Health Primary Care Partners | Obstetrics & Gynecology | 555 Midtowne St Ne, Suite 302, Grand Rapids, MI 49503-5729 | 2010-07-07 |
| 1700102993 | Midtowne Pharmacy | Pharmacy | 555 Midtowne St Ne, Suite 103, Grand Rapids, MI 49503-5729 | 2010-04-13 |
| 1952539603 | Kory James Johnson | Orthopaedic Surgery | 555 Midtowne St Ne, Suite 105, Grand Rapids, MI 49503-5729 | 2009-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496195 | Airway Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 | 2020-10-27 |
| 1730707282 | Adriana Molina-schmuker | Counselor | 901 Eastern Avenue Ne, Grand Rapids, MI 49503 | 2020-07-10 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1124647805 | Jared Host | Speech-Language Pathologist | Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 | 2020-04-13 |
| 1265061378 | Heather Gladfelter | Student in an Organized Health Care Education/Training Program | 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 | 2020-04-02 |
| 1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
| 1376185199 | Beth Arce | Occupational Therapist | 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 | 2019-10-14 |
| 1295387256 | Althea Ziolkowski | Licensed Practical Nurse | Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 | 2019-07-10 |
| 1790340719 | Heather Anne Fox | Occupational Therapist | Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 | 2019-05-06 |
| 1184182883 | April L Kaiserlian | Social Worker | 983 Spaulding Ave Ne, Ada, MI 49503 | 2019-03-12 |
| Find all providers in zip 49503 | ||||
| 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 |
| 1265597223 | Scott R Brundage | Plastic Surgery | 2060 East Paris Avenue Se, Suite 150, Grand Rapids, MI 49546 | 2006-12-27 |
| 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 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
Please comment or provide details below to improve the information on BRADLEY BENGTSON, M.D. PC.
| 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.