NPI 1346863750 · live from the CMS NPI Registry
Jordan T Boivin, MD
Orthopaedic Surgery, Sports Medicine in Kalamazoo, MI. National Provider Identifier 1346863750, active.
NPI record
| NPI | 1346863750 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery, Sports Medicine 207XX0005X |
| Practice location | 2490 S 11th St Ste 201, Kalamazoo, MI 49009 |
| Practice phone | 269-343-1535 |
| Mailing address | 3245 Health Dr Ste 100, Granger, IN 46530 |
| Enumerated | May 20, 2020 |
| Last updated | September 3, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery, Sports Medicine primary | 207XX0005X | 4301517677 (MI) |
| Student in an Organized Health Care Education/Training Program | 390200000X | 4351046936 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.