Healthcare Provider Details

I. General information

NPI: 1013089820
Provider Name (Legal Business Name): BRONSON METHODIST HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2006
Last Update Date: 11/20/2025
Certification Date: 11/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6220 W MAIN ST
KALAMAZOO MI
49009-8925
US

IV. Provider business mailing address

301 JOHN ST BOX 42
KALAMAZOO MI
49007-5295
US

V. Phone/Fax

Practice location:
  • Phone: 269-552-4212
  • Fax:
Mailing address:
  • Phone: 269-341-7806
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

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