BRUCE D DRAGOO MD PC NPI 1952434292

NPI Information

  • NPI: 1952434292
  • Provider Name: BRUCE D DRAGOO MD PC
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Address: 1000 E PARIS AVE SE
    SUITE 225
    GRAND RAPIDS, MI
    ZIP 49546
  • Phone: (616) 957-3643

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NPI Details

BRUCE D DRAGOO MD PC is a durable medical equipment medical supplies in Grand Rapids, MI. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. BRUCE D DRAGOO MD PC NPI is 1952434292. The provider is registered as an organization entity type.

The provider's business location address is:

1000 E PARIS AVE SE
SUITE 225
GRAND RAPIDS, MI
ZIP 49546-691
Phone: (616) 957-3643
Fax: (616) 957-0896

The provider's authorized official is Freda Lyn Larkin .
The authorized official title is Billing and has the following contact phone number (616) 957-3643.

The enumeration date for this NPI number is 3/14/2007 and was last updated on 4/20/2008.

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
1332B00000XDurable Medical Equipment & Medical Supplies4301028716MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10411170001MEDICARE NSC
20P52200MEDICARE PIN
3=========OTHERMICHIGANPRIORITY HEALTH
4BD028716OTHERMICHIGANBC MI ID NUMBER
51083311MEDICAIDMICHIGAN
64301028716OTHERMICHIGANSTATE LICENSE NUMBER
7B47152MEDICARE UPINMICHIGAN

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: 3/30/2025

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