BROOKE ALICE BORGESON-GRAY (NPI# 1447430236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447430236 |
| Entity Type | Individual |
| Full Name | BROOKE ALICE BORGESON-GRAY |
| Credential | NP |
| Practice Address |
3147 Logan Valley Rd Traverse City MI 49684-4772 |
| Practice Telephone | 2319293111 |
| Practice Fax Number | 2319460445 |
| Mailing Telephone | 2319293111 |
| Mailing Fax Number | 2319460445 |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2008-07-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LC1500X |
Nurse Practitioner Specialization: Community Health |
4704124111 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1447430236 | 05 |
| Street Address |
3147 LOGAN VALLEY RD |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49684-4772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972680411 | Lynn Lapointe Swan | Family Medicine | 3147 Logan Valley Rd, Traverse City, MI 49684-4772 | 2006-11-01 |
| 1174841720 | Jane Marie Stauffer | Nurse Practitioner | 3147 Logan Valley Rd, Traverse City, MI 49684-4772 | 2010-05-06 |
| 1376790923 | Thomas P. Dunfee | Clinic/Center | 3147 Logan Valley Rd, Traverse City, MI 49684-4772 | 2008-08-26 |
| 1386821940 | Leslie Caroline Heimburger | Internal Medicine | 3147 Logan Valley Rd, Traverse City, MI 49684-4772 | 2008-01-25 |
| 1467632059 | Traverse Health Clinic and Coalition | Clinic/Center | 3147 Logan Valley Rd, Traverse City, MI 49684-4772 | 2007-11-12 |
| 1619196680 | Ann M Avery | Nurse Practitioner | 3147 Logan Valley Rd, Traverse City, MI 49684-4772 | 2007-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124641758 | Karen Anne Paulosky | Registered Nurse | 226 S Madison St, Traverse City, MI 49684 | 2020-05-18 |
| 1891314795 | Jaclyn Elizabeth Sylvain | Student in an Organized Health Care Education/Training Program | Munson Family Practice Center, 1400 Medical Campus Drive, Traverse City, MI 49684 | 2020-04-10 |
| 1285282988 | Madelyn Drumm | Dietitian, Registered | 217 S. Madison St., Suite 3022, Traverse City, MI 49684 | 2019-08-27 |
| 1265917686 | Kacie Danielle Heading | Social Worker | 12719 S. West Bay Shore Drive, Suite 9, Traverse City, MI 49684 | 2018-10-02 |
| 1881178325 | Jacob White Ph.d., Pllc | Psychologist | 3537 W. Front Street, Suite F, Traverse City, MI 49684 | 2018-09-20 |
| 1144702572 | Constance Baab, Phd, Lmsw, Pllc | Social Worker | 3301 Veterans Drive Suite 127, Traverse City, MI 49684 | 2018-09-01 |
| 1346732880 | The Skin Cancer and Dermatology Center Plc | Dermatology | 1225 W Front St Ste 2, Traverse City, MI 49684 | 2018-05-31 |
| 1790283851 | Lisa Louise Kleyps | Massage Therapist | 3337 W. South Airport Road #2, Traverse City, MI 49684 | 2018-01-24 |
| 1114447646 | Brittany Alexandra Prior | Physical Therapist | 3899 W Front Sreet, Unit 3, Traverse City, MI 49684 | 2017-06-26 |
| 1568902963 | Jennifer Scott | Behavior Technician | 515 W 14th St Unit D, Traverse City, MI 49684 | 2017-03-03 |
| Find all providers in zip 49684 | ||||
| Taxonomy Code | 363LC1500X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437155488 | Patricia Bauer | Nurse Practitioner | 1719 S Garfield Ave, Traverse City, MI 49686-4337 | 2005-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235395195 | Ascension Southeast Michigan Community Health | Nurse Practitioner | 15590 W 9 Mile Rd, Southfield, MI 48075 | 2008-07-31 |
| 1336383660 | Jenny K David | Nurse Practitioner | 5170 Rifle River Trl, Alger, MI 48610-9343 | 2009-04-30 |
| 1831303627 | Rosemary Blashill | Nurse Practitioner | 508 Ashmun St, Suite 120, Sault Sainte Marie, MI 49783-1976 | 2007-05-10 |
| 1376692087 | Karen M Warren | Nurse Practitioner | 1001 S Raisinville Rd, Monroe, MI 48161-9754 | 2007-01-10 |
| 1962595405 | Amanda Jean Barton | Nurse Practitioner | 520 Cobb St, Cadillac, MI 49601 | 2006-10-02 |
| City | TRAVERSE CITY |
| Zip Code | 49684 |
Please comment or provide details below to improve the information on BROOKE ALICE BORGESON-GRAY.
| 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.