Brenda J Nichols (NPI# 1558426882, PAC ID# 5991751935) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1558426882 |
| PAC ID by PECOS | 5991751935 |
| Professional Enrollment ID | I20131125000187 |
| Full Name | Brenda J Nichols |
| Organization Legal Name | RIVER VALLEY ORTHOPEDICS, P.C. |
| Address |
350 Se Lafayette Ave 4th Floor Grand Rapids MI 49503-4656 |
| Phone Number | 6164568515 |
| Gender | F |
| Credential | PA |
| Graduation Year | 2004 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6406828722 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230059 | MERCY HEALTH SAINT MARY'S |
| Address | Phone | Organization |
|---|---|---|
| 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 | 6164597101 | ORTHOPAEDIC ASSOCIATES OF GRAND RAPIDS PC |
| 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 | 6167526090 | ORTHOPAEDIC ASSOCIATES OF GRAND RAPIDS PC |
| 350 Lafayette Ave Se, Fl 4, Grand Rapids, MI 49503-4656 | 6164597101 | ORTHOPAEDIC ASSOCIATES OF GRAND RAPIDS PC |
| 350 Se Lafayette Ave, 4th Floor, Grand Rapids, MI 49503-4656 | 6164568515 | RIVER VALLEY ORTHOPEDICS, P.C. |
| Organization Legal Name | RIVER VALLEY ORTHOPEDICS, P.C. |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christina J Holmes | Physician Assistant | River Valley Orthopedics, P.C. | 350 Se Lafayette Ave, 4th Floor, Grand Rapids, MI 49503-4656 |
| David T Rispler | Orthopedic Surgery | River Valley Orthopedics, P.C. | 2373 64th St Sw, Suite 2500, Byron Center, MI 49315-7978 |
| Robert J Houser | Physician Assistant | River Valley Orthopedics, P.C. | 350 Se Lafayette Ave, 4th Floor, Grand Rapids, MI 49503-4656 |
| Benjamin L Harper | Orthopedic Surgery | River Valley Orthopedics, P.C. | 2373 64th St Sw, Suite 2500, Byron Center, MI 49315-7978 |
| Robin M Iknayan | Physician Assistant | River Valley Orthopedics, P.C. | 350 Se Lafayette Ave, 4th Floor, Grand Rapids, MI 49503-4656 |
| Kim J Eastman | Orthopedic Surgery | River Valley Orthopedics, P.C. | 350 Se Lafayette Ave, Grand Rapids, MI 49503-4656 |
| Street Address |
350 SE LAFAYETTE AVE 4TH FLOOR |
| City | GRAND RAPIDS |
| State | MI |
| Zip | 49503-4656 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christina J Holmes | Physician Assistant | River Valley Orthopedics, P.C. | 350 Se Lafayette Ave, 4th Floor, Grand Rapids, MI 49503-4656 |
| Robert J Houser | Physician Assistant | River Valley Orthopedics, P.C. | 350 Se Lafayette Ave, 4th Floor, Grand Rapids, MI 49503-4656 |
| Robin M Iknayan | Physician Assistant | River Valley Orthopedics, P.C. | 350 Se Lafayette Ave, 4th Floor, Grand Rapids, MI 49503-4656 |
| Kim J Eastman | Orthopedic Surgery | River Valley Orthopedics, P.C. | 350 Se Lafayette Ave, Grand Rapids, MI 49503-4656 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yaw Appiagyei-dankah | Pediatric Medicine | Spectrum Health Primary Care Partners | 230 Michigan Ave Ne, Grand Rapids, MI 49503 |
| Steven G Hamming | Psychologist, Clinical | 85 Campau Nw, Suite 100, Grand Rapids, MI 49503 | |
| Scott Douglas Hadley | Physical Therapy | 1140 Monroe Ave Nw, Suite 5201, Grand Rapids, MI 49503-1070 | |
| Doreen T Berrios | Nurse Practitioner | Hope Network Behavorial Health Services | 385 Leonard Ne, Pivot Case Mgmt, Grand Rapids, MI 49503-1129 |
| Jaclyn Michelle Abbate | Clinical Social Worker | Hope Network Behavorial Health Services | 385 Leonard Ne, Pivot Case Mgmt, Grand Rapids, MI 49503-1129 |
| Karen Georgianna O'strander | Clinical Social Worker | Hope Network Behavorial Health Services | 385 Leonard Ne, Pivot Case Mgmt, Grand Rapids, MI 49503-1129 |
| Richard E Myers | Psychiatry | Hope Network Behavorial Health Services | 385 Leonard Ne, Pivot Case Mgmt, Grand Rapids, MI 49503-1129 |
| Patrick J Handlin | Physician Assistant | Hope Network Behavorial Health Services | 385 Leonard Ne, Pivot Case Mgmt, Grand Rapids, MI 49503-1129 |
| Courtney E Kozarian | Clinical Social Worker | Hope Network Behavorial Health Services | 385 Leonard Ne, Pivot Case Mgmt, Grand Rapids, MI 49503-1129 |
| Jillaine A Ruppel | Nurse Practitioner | Hope Network Behavorial Health Services | 385 Leonard Ne, Pivot Case Mgmt, Grand Rapids, MI 49503-1129 |
| Find all physicians in zip 49503 | |||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | GRAND RAPIDS + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Brenda J Nichols.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.