NPI 1558476804 · live from the CMS NPI Registry
Richard A Bereza, M.D.
Orthopaedic Surgery in Grand Rapids, MI. National Provider Identifier 1558476804, active.
NPI record
| NPI | 1558476804 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery 207X00000X |
| Practice location | 1300 Michigan St Ne, Suite 200, Grand Rapids, MI 49503 |
| Practice phone | 616-774-9515 |
| Enumerated | August 20, 2006 |
| Last updated | November 30, 2009 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery primary | 207X00000X | RB038229 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.