BRIAN J DECKER (NPI# 1801809157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801809157 |
| Entity Type | Individual |
| Full Name | BRIAN J DECKER |
| Credential | MD |
| Practice Address |
7782 20th Ave Jenison MI 49428 |
| Mailing Address |
245 State St Se Grand Rapids MI 49503 |
| Practice Telephone | 6166858700 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2012-09-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 4301084359 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | STATE LICENSE NUMBER | 4301084359 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487674610 | Brian C Decker II | Dentist | 7575 W University Ave, Suite P, Gainesville, FL 32607-7600 | 2006-07-20 |
| 1760421051 | Brian Joseph Decker | Nurse Practitioner | 1327 E 17th St, Idaho Falls, ID 83404 | 2006-06-05 |
| 1053840843 | Brian Decker | Counselor | 114 Genesee St, Utica, NY 13502-3508 | 2017-06-06 |
| 1861761157 | Brian Nutt Decker | Student in an Organized Health Care Education/Training Program | 200 N Greensboro St, Carrboro, NC 27510-1833 | 2011-12-15 |
| 1104008648 | Brian Decker | Pharmacist | 311 Route 9w, Glenmont, NY 12077-2909 | 2007-11-27 |
| Street Address |
7782 20TH AVE |
| City | JENISON |
| State | MI |
| Zip Code | 49428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104879592 | Amy Henne | Family Medicine | 7782 20th Ave, Jenison, MI 49428-8524 | 2006-05-18 |
| 1427409937 | Caleb Walters | Family Medicine | 7782 20th Ave, Jenison, MI 49428 | 2016-06-27 |
| 1184074239 | Emily Schipper | Family Medicine | 7782 20th Ave, Jenison, MI 49428 | 2016-06-20 |
| 1639560204 | Nicole Steffen | Social Worker | 7782 20th Ave, Jenison, MI 49428 | 2015-02-18 |
| 1194160986 | Kara Taylor | Nurse Practitioner | 7782 20th Ave, Jenison, MI 49428-8524 | 2013-05-07 |
| 1134230832 | Tanya L. Vreeke | Family Medicine | 7782 20th Ave, Jenison, MI 49428-8524 | 2006-08-31 |
| 1235185067 | Peter Ritsema | Family Medicine | 7782 20th Ave, Jenison, MI 49428-8524 | 2006-05-25 |
| 1144276908 | Janine Vannoord | Family Medicine | 7782 20th Ave, Jenison, MI 49428-8524 | 2006-05-25 |
| 1467407049 | Mark Jary | Family Medicine | 7782 20th Ave, Jenison, MI 49428-8524 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902355076 | Brian Jacob Wolters | Chiropractor | 7579 Main Street, Jenison, MI 49428 | 2016-09-29 |
| 1730530569 | Michael Walton | Counselor | 7678 Cottonwood Dr Ste C, Jenison, MI 49428 | 2016-06-22 |
| 1972950301 | Kyler Ross Debruyn | Student in an Organized Health Care Education/Training Program | 1932 Cedarbrook Drive, Jenison, MI 49428 | 2016-05-16 |
| 1932529799 | Patrick Christopher Schafer | Family Medicine | 345 Baldwin St, Jenison, MI 49428 | 2014-04-21 |
| 1548469216 | Sarah Anne Sainem Gordon | Counselor | 7506 Church Street, Jenison, MI 49428 | 2007-07-13 |
| 1265578900 | Stephen Mitchael Dadd | Dentist | 657 Baldwin St, Jenison, MI 49428 | 2007-01-29 |
| 1831277136 | Tyler Andrew Wolf | Dentist | 7678 Cottonwood Dr, Jenison, MI 49428 | 2006-11-02 |
| 1497840342 | Bruce A Seitz Dds PC | Dentist | 701 Baldwin, Jenison, MI 49428 | 2006-10-04 |
| 1134221260 | Aaron N Kik | Chiropractor | 7646 20th Ave, Jenison, MI 49428 | 2006-09-01 |
| 1700899135 | Mark Laman Powell | Dentist | 2076 Baldwin Dr, Jenison, MI 49428 | 2006-08-15 |
| Find all providers in zip 49428 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932529799 | Patrick Christopher Schafer | Family Medicine | 345 Baldwin St, Jenison, MI 49428 | 2014-04-21 |
| 1194771972 | Gregory Vanwienen | Family Medicine | 7780 20th Ave, Jenison, MI 49428-8524 | 2006-05-25 |
| 1104879592 | Amy Henne | Family Medicine | 7782 20th Ave, Jenison, MI 49428-8524 | 2006-05-18 |
| 1235192188 | Diana L Dillman | Family Medicine | 7686 Georgetown Center Dr, Jenison, MI 49428-8101 | 2006-04-11 |
| 1427409937 | Caleb Walters | Family Medicine | 7782 20th Ave, Jenison, MI 49428 | 2016-06-27 |
| 1184074239 | Emily Schipper | Family Medicine | 7782 20th Ave, Jenison, MI 49428 | 2016-06-20 |
| 1033473053 | Matthew Wesley Medley | Family Medicine | 7686 Georgetown Center Dr, Jenison, MI 49428-8101 | 2012-06-25 |
| 1134230832 | Tanya L. Vreeke | Family Medicine | 7782 20th Ave, Jenison, MI 49428-8524 | 2006-08-31 |
| 1235185067 | Peter Ritsema | Family Medicine | 7782 20th Ave, Jenison, MI 49428-8524 | 2006-05-25 |
| 1144276908 | Janine Vannoord | Family Medicine | 7782 20th Ave, Jenison, MI 49428-8524 | 2006-05-25 |
| Find all providers in JENISON | ||||
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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.