Healthcare Provider Details

I. General information

NPI: 1992502942
Provider Name (Legal Business Name): BRANDIE L TOPINKA NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2025
Last Update Date: 03/28/2025
Certification Date: 03/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9623 RED ARROW HWY
BRIDGMAN MI
49106-9559
US

IV. Provider business mailing address

9623 RED ARROW HWY
BRIDGMAN MI
49106-9559
US

V. Phone/Fax

Practice location:
  • Phone: 692-465-6050
  • Fax: 269-465-3134
Mailing address:
  • Phone: 269-465-6050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number4704343503
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number4704343503
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: