KYLE BRONSTEEN


Address: Wmu School of Medicine, 1000 Oakland Drive, Kalamazoo, MI 49008
Phone: 2693374400

KYLE BRONSTEEN (NPI# 1396195863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396195863
Entity Type Individual
Full Name KYLE BRONSTEEN
Credential DO
Practice Address Wmu School of Medicine
1000 Oakland Drive
Kalamazoo
MI 49008
Mailing Address 205 N East Ave
Jackson
MI 49201-1753
Practice Telephone 2693374400
Mailing Telephone 5177884800
Mailing Fax Number 5178177050
Enumeration Date 2016-06-15
Last Update Date 2020-07-06
NPI Deactivation Date 06/03/2020
NPI Reactivation Date 2020-06-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program 5101025620 MI Student, Health Care
N 390200000X Student in an Organized Health Care Education/Training Program MI Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
28050 W. Grand River Ave, Farmington Hills, MI 48336 2484718000

Office Location

Street Address WMU SCHOOL OF MEDICINE
1000 OAKLAND DRIVE
City KALAMAZOO
State MI
Zip Code 49008

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639797210 Chaminda Rasika Dissanayake Family Medicine Wmu School of Medicine, 1000 Oakland Dr, Kalamazoo, MI 49008 2020-07-09
1336636927 Nicholas William Beam Student in an Organized Health Care Education/Training Program Wmu School of Medicine, 1000 Oakland Dr, Kalamazoo, MI 49008 2018-04-18
1598285132 Jared Brooks Pathology Wmu School of Medicine, 1000 Oakland Drive, Kalamazoo, MI 49008 2017-06-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144847534 Theresa Anne Aranda Pharmacist 3016 S Westendge Ave, Kalamazoo, MI 49008 2020-07-01
1336615830 Jonathon Strefling Physical Therapist 165 N. Washington Ave, Battle Creek, MI 49008 2018-10-23
1376039826 Alexander J Hessler I Pharmacist 5121 S Westnedge Ave., Kalamazoo, MI 49008 2018-07-09
1700324415 Philip Richard Granish Psychologist 4341 S. Westnedge, Suite 1103, Kalamazoo, MI 49008 2017-02-02
1013363449 Gwendolyn Layette Moore Home Health Aide 4441 Old Colony Road, Kalamazoo, MI 49008 2016-05-04
1982008066 Danah Kim Dentist 3130 N Westnedge Ave., Kalamazoo, MI 49008 2014-10-17
1598168874 Melissa Shields Physician Assistant Western Michigan University, 1903 Western Michigan Avenue, Kalamazoo, MI 49008 2014-10-01
1831508548 D2 Dental of Michigan, P.C. Dentist 3130 S Westnedge Avenue, Kalamazoo, MI 49008 2014-08-06
1558784330 Maureen Brown Pharmacist 5121 S. Westnedge Ave, Kalamazoo, MI 49008 2014-01-29
1881016004 Barbara Jo Dykema Pharmacist 5121 S. Westnedge, Kalamazoo, MI 49008 2014-01-07
Find all providers in zip 49008

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487278149 Nathan Collin Sklar Student in an Organized Health Care Education/Training Program 300 Portage St, Kalamazoo, MI 49007-4929 2020-05-28
1659994994 Courtney Elizabeth Adler Student in an Organized Health Care Education/Training Program 1904 Cambridge Dr, Kalamazoo, MI 49001-4444 2020-05-21
1790306058 Ali Shah Student in an Organized Health Care Education/Training Program 1000 Oakland Drive Western Michigan University, Homer Stryker Md School of Medicine, Kalamazoo, MI 49008-8012 2020-04-28
1871120220 Ashley Raedy Student in an Organized Health Care Education/Training Program 8228 Switch Grass Rdg, Kalamazoo, MI 49009-6938 2020-03-25
1447719646 Katelyn Faye Baker Student in an Organized Health Care Education/Training Program 6460 Ormada Dr, Kalamazoo, MI 49048-9473 2019-03-18
1144787300 Brian Alexander Austin-young Student in an Organized Health Care Education/Training Program 1210 Oliver Ln, Kalamazoo, MI 49008-5454 2019-02-25
1144786898 Jena Schram Student in an Organized Health Care Education/Training Program 1245 Redpine Way, Kalamazoo, MI 49006-5497 2019-02-19
1750847406 Austin Louis Krysmalski Student in an Organized Health Care Education/Training Program 1324 S Westnedge Ave, Kalamazoo, MI 49008-1380 2019-02-19
1770068728 Alexsys St.john Student in an Organized Health Care Education/Training Program 3325 W Michigan Ave, Kalamazoo, MI 49006-5579 2018-09-26
1316450901 Joslyn Aneice Johnson Student in an Organized Health Care Education/Training Program 1521 Summer Ridge Dr. Apt. A, Kalamazoo, MI 49009 2017-11-06
Find all providers in KALAMAZOO

Competitor

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City KALAMAZOO
Zip Code 49008

Improve Information

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Dataset Information

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.

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