Healthcare Provider Details

I. General information

NPI: 1659281301
Provider Name (Legal Business Name): BRONSON METHODIST HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3770 CAPITAL AVE SW STE A
BATTLE CREEK MI
49015-9411
US

IV. Provider business mailing address

2825 AIRVIEW BLVD
PORTAGE MI
49002-1802
US

V. Phone/Fax

Practice location:
  • Phone: 269-441-1771
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: REBECCA EAST
Title or Position: SVP, CFO
Credential:
Phone: 269-341-6000