Brice W Blatz, MD, MS
Surgery in Grand Rapids, Michigan
1770745309- Practice location
- 221 Michigan St NE, Grand Rapids, MI 49503-2543
- Phone
- 616-391-1405
- Fax
- 616-391-8611
- Last updated
- March 10, 2021
Brice W Blatz, MD, MS is a Surgery based in Grand Rapids, MI. Brice W Blatz, MD, MS holds the professional credentials of MD, MS. The NPI number for Brice W Blatz, MD, MS is 1770745309 and holds license No. LL2132 (NV). The current practice location address is 221 Michigan St NE, Grand Rapids, MI 49503-2543 and the office can be reached by phone at 616-391-1405 and by fax at 616-391-8611. The NPI was assigned on June 25, 2008 and the record was last updated in NPPES on March 10, 2021.
●Provider Profile Details
- NPI Number
- 1770745309
- Provider Name
- Brice William Blatz
- Credential
- MD, MS
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Male
- Primary Taxonomy
- Surgery · 208600000X
- Sole Proprietor
- Yes
- Enumeration Date
- June 25, 2008
- Last Update Date
- March 10, 2021
- Certification Date
- March 10, 2021
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 221 Michigan St NE
Grand Rapids, MI 49503-2543 - City
- Grand Rapids
- State
- Michigan
- ZIP
- 49503-2543
- Country
- US
- Phone Number
- 616-391-1405
- Fax Number
- 616-391-8611
✉Business Mailing Address
- Address
- 9925 SW Nimbus Ave
Ste 100
Beaverton, OR 97008-7591 - City
- Beaverton
- State
- OR
- ZIP
- 97008-7591
- Phone Number
- 503-217-6305
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | No | LL2132 | NV |
| Surgery | 208600000X | Yes | 4301092779 | MI |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Grand Rapids →?Frequently Asked Questions
What is the NPI number of Brice W Blatz, MD, MS?
The NPI number of Brice W Blatz, MD, MS is 1770745309. It was assigned on June 25, 2008 and is currently active in the NPPES registry.
What is the specialty of Brice W Blatz, MD, MS?
Brice W Blatz, MD, MS is registered under the primary taxonomy Surgery (code 208600000X) and holds license No. LL2132 (NV).
Where does Brice W Blatz, MD, MS practice?
The practice location is 221 Michigan St NE, Grand Rapids, MI 49503-2543. The office can be reached at 616-391-1405 (phone) or 616-391-8611 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1770745309 directly on the NPPES registry website at npiregistry.cms.hhs.gov.