BRANDON J BURGESS (NPI# 1346899002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346899002 |
| Entity Type | Individual |
| Full Name | BRANDON J BURGESS |
| Practice Address |
1101 Ball Ave Ne Grand Rapids MI 49505-5904 |
| Practice Telephone | 6164566571 |
| Practice Fax Number | 6167742044 |
| Mailing Telephone | 6164566571 |
| Mailing Fax Number | 6167742044 |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2019-09-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942861323 | Brandon Burgess | Chiropractor | 46169 Westlake Dr Ste 300, Sterling, VA 20165-5875 | 2019-06-26 |
| 1023506649 | Brandon Tyler Burgess | Counselor | 445 31st St N, St Petersburg, FL 33713-7605 | 2018-04-30 |
| Street Address |
1101 BALL AVE NE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49505-5904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942327440 | Kathryn Marie Siegenthaler | Social Worker | 1101 Ball Ave Ne, Grand Rapids, MI 49505-5904 | 2007-03-22 |
| 1649810441 | Hannah Elizabeth Crouch | Respite Care | 1101 Ball Ave Ne, Grand Rapids, MI 49505-5904 | 2020-01-09 |
| 1063057248 | Janelle Nichole Vaness | Peer Specialist | 1101 Ball Ave Ne, Grand Rapids, MI 49505-5904 | 2019-11-12 |
| 1316597222 | Meryn Jesse Creasman | Social Worker | 1101 Ball Ave Ne, Grand Rapids, MI 49505-5904 | 2019-09-13 |
| 1396394193 | Lauren Washburn | Psychologist | 1101 Ball Ave Ne, Grand Rapids, MI 49505-5904 | 2019-09-05 |
| 1588212542 | Nicholas Masters | Student in an Organized Health Care Education/Training Program | 1101 Ball Ave Ne, Grand Rapids, MI 49505-5904 | 2019-09-03 |
| 1831664267 | Ernestine Delarosa | Specialist | 1101 Ball Ave Ne, Grand Rapids, MI 49505-5904 | 2018-10-12 |
| 1336621317 | Kendra Jean Weidenfeller | Counselor | 1101 Ball Ave Ne, Grand Rapids, MI 49505-5904 | 2018-09-05 |
| 1104303700 | Ricky Belton Jr. | Community Health Worker | 1101 Ball Ave Ne, Grand Rapids, MI 49505-5904 | 2018-07-26 |
| 1083100747 | Alisha Kremer | Social Worker | 1101 Ball Ave Ne, Grand Rapids, MI 49505-5904 | 2018-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285276097 | Molly Beth Kerkstra | Home Health Aide | 1115 Ball Ave Nw, Grand Rapids, MI 49505 | 2019-10-14 |
| 1154849677 | Roshawn Nichol Whitley | Technician | 891 Maryland Ave, Grand Rapids, MI 49505 | 2017-09-05 |
| 1447778923 | Kelly Benzin-brinks | Social Worker | 1965 3 Mile Rd Ne, Grand Rapids, MI 49505 | 2017-09-05 |
| 1033560404 | Taylor Nolan Boyd | Speech-Language Pathologist | 400 Ann St Ne Ste 106a, Grand Rapids, MI 49505 | 2016-06-28 |
| 1023465002 | Calvin Athy | Counselor | 1101 Ballave Ne, Grand Rapids, MI 49505 | 2016-05-19 |
| 1821456682 | Kelly Van Huisen | Counselor | 1115 Ball Avenue Ne, Building B, Grand Rapids, MI 49505 | 2016-02-08 |
| 1780051102 | Mark Squeteri | Social Worker | 1345 Monroe Ave Nw Ste 234, Grand Rapids, MI 49505 | 2015-09-02 |
| 1346637337 | Shelby Fullington | Social Worker | 1011 Ball Ave Ne, Grand Rapids, MI 49505 | 2015-04-17 |
| 1457745325 | Lester Anderson II | Social Worker | 1115 Ball Ave, Grand Rapids, MI 49505 | 2015-03-27 |
| 1730570151 | Nicole Brown | Counselor | 1345 Monroe Ave Nw Ste 204, Grand Rapids, MI 49505 | 2015-02-06 |
| Find all providers in zip 49505 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194348813 | Holly Beth Myer | Student in an Organized Health Care Education/Training Program | 2615 3 Mile Rd Ne, Grand Rapids, MI 49525-3944 | 2020-05-28 |
| 1649890559 | Kelsey Anne Knowles | Student in an Organized Health Care Education/Training Program | 2088 Watermark Dr Se, Grand Rapids, MI 49546-9012 | 2020-04-21 |
| 1174142285 | Jeremy David Mormol | Student in an Organized Health Care Education/Training Program | 100 Michigan St Ne Ste 501, Grand Rapids, MI 49503-2560 | 2020-04-09 |
| 1417586454 | Ashutosh Agrawal | Student in an Organized Health Care Education/Training Program | 100 Michigan St Ne # Mc46, Grand Rapids, MI 49503-2560 | 2020-04-02 |
| 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 |
| 1942858048 | Kyle Brandon Avery | Student in an Organized Health Care Education/Training Program | 223 Prospect Ave Ne, Grand Rapids, MI 49503-5649 | 2019-09-01 |
| 1487209516 | Kathryn Ann Pilczuk | Student in an Organized Health Care Education/Training Program | 333 Bridge St Nw, Grand Rapids, MI 49504-5367 | 2019-08-06 |
| 1831752443 | Mark Pressler | Student in an Organized Health Care Education/Training Program | 15 Michigan St Ne, Grand Rapids, MI 49503-2509 | 2019-04-18 |
| 1043774177 | Rebecca Elyse Mitchell | Student in an Organized Health Care Education/Training Program | 932 Fulton St E Apt 1, Grand Rapids, MI 49503-3565 | 2019-01-23 |
| 1841767712 | Jordon Alexander Wurst-smith | Student in an Organized Health Care Education/Training Program | 44 Indiana Ave Nw, Grand Rapids, MI 49504-6369 | 2018-10-30 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49505 |
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| 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.