BRENDA ALYCE MCCRUM NPI 1205301025

NPI Information

  • NPI: 1205301025
  • Provider Name: BRENDA ALYCE MCCRUM
  • Classification: Nurse Practitioner - 363LN0000X
  • Specialization: Neonatal
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 601 JOHN ST
    KALAMAZOO, MI
    ZIP 49007
  • Phone: (269) 341-6475

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NPI Details

Brenda Alyce Mccrum is a neonatal nurse practitioner in Kalamazoo, MI. Brenda Alyce Mccrum NPI is 1205301025. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

601 JOHN ST
KALAMAZOO, MI
ZIP 49007-341
Phone: (269) 341-6475

The NPI 1205301025 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 10/8/2018 and was last updated on 11/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LN0000XNurse PractitionerNeonatal4704242835NSA180X8MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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