DR. REYNOLDS B BRISSENDEN III (NPI# 1649421108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649421108 |
| Entity Type | Individual |
| Full Name | DR. REYNOLDS B BRISSENDEN III |
| Credential | M.D, |
| Practice Address |
409 Timberlake Dr W Holland MI 49424-5338 |
| Practice Telephone | 6169949912 |
| Mailing Telephone | 6169949912 |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2008-10-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
4301052203 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
409 TIMBERLAKE DR W |
| City | HOLLAND |
| State | MI |
| Zip Code | 49424-5338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194290999 | Anderson Family and Cosmetic Dentistry | Dentist | 453 136th Ave., Holland, MI 49424 | 2018-10-08 |
| 1487139663 | Maria C. Hoekstra Dds, P.C. | Dentist | 1121 Ottawa Beach Road, Suite 100, Holland, MI 49424 | 2018-10-03 |
| 1871024000 | Derek Schaaf | Rehabilitation Practitioner | 13835 Foxtrail Dr., Holland, MI 49424 | 2017-03-21 |
| 1699227397 | Tabitha Margritz | Optometrist | 2279 N Park Drive #910, Holland, MI 49424 | 2016-10-28 |
| 1619373701 | Miller Chiropractic LLC | Chiropractor | 84 East Lakewood Boulevard, Holland, MI 49424 | 2014-11-17 |
| 1891107611 | Nathan B. Poel | Dentist | 1180 Ottawa Beach Rd, Suite E, Holland, MI 49424 | 2014-05-28 |
| 1477990802 | Jeanine Hamilton | Speech-Language Pathologist | 1576 Eb Creek Dr., Holland, MI 49424 | 2013-05-24 |
| 1194062638 | Stefan John Kuipers | Physician Assistant | 3100 Wellness Dr, Holland, MI 49424 | 2013-01-03 |
| 1902155690 | Benjamin Eovaldi | General Practice | 376 Mayfair St., Holland, MI 49424 | 2012-09-10 |
| 1295017929 | Employee Assistance Center Garden | Psychologist | 372 Garden, Holland, MI 49424 | 2011-09-20 |
| Find all providers in zip 49424 | ||||
| Taxonomy Code | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538766639 | Corporate Occupational Health PC | Preventive Medicine | 3501 Lake Eastbrook Blvd Se Ste 144, Grand Rapids, MI 49546-5939 | 2020-10-02 |
| 1770194375 | Healthstat Inc Huhtamaki-michigan | Preventive Medicine | 5700 W Shaffer Rd, Coleman, MI 48618-9706 | 2020-08-17 |
| 1487265088 | Healthstat Inc National Gypsum-national City | Preventive Medicine | 2375 S National City Rd, National City, MI 48748-9623 | 2020-08-17 |
| 1619494762 | Healthstat Onsite Clinic Keihin Capac | Preventive Medicine | 14898 Koehn Rd, Mussey, MI 48014-4310 | 2017-08-29 |
| 1174944953 | Healthstat On-site Clinic/unified Michigan | Preventive Medicine | 520 S. Coldwater Rd., Weidman, MI 48893 | 2013-12-23 |
| 1598018152 | Healthstat- Carson City Hospital | Preventive Medicine | 46 Elm St., Carson City, MI 48811 | 2012-10-19 |
| 1609129303 | Healthstat- Jedco | Preventive Medicine | 1615 Broadway Ave Nw, Grand Rapids, MI 49504-2026 | 2012-10-18 |
| 1083905541 | Rosalind Marie Cohen | Preventive Medicine | 1106 E Cook Rd, Grand Blanc, MI 48439-8368 | 2011-05-02 |
| 1629307251 | Michigan State University | Preventive Medicine | 346 Olin Health Ctr, East Circle Drive, East Lansing, MI 48824-1037 | 2009-12-10 |
| 1992903371 | Gary Richard Kerstein | Preventive Medicine | 1800 Hickory Valley Rd, Milford, MI 48380-4276 | 2007-07-06 |
| Find all providers with the same taxonomy | ||||
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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.