KEVIN R. BRADER MD – NPI #1609807627
Obstetrics & Gynecology

An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.

Health Care Provider Taxonomy Code for Obstetrics & Gynecology

KEVIN BRADER is a physician located in WYOMING, MI. NPPES has assigned the NPI number 1609807627 to KEVIN BRADER on July 06, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 3 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 207VX0201X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Gynecologic Oncology

The NPI profile was previously updated about 3 years ago on Feb 01, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KEVIN BRADER below.

NPI Profile for
KEVIN R. BRADER

NPI Number
1609807627
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
KEVIN R. BRADER
Credentials
MD
Primary location
5900 BYRON CENTER AVE SW
WYOMING, MI 49519-9606
Phone: (616) 350-2697 Fax:
3 Other location(s):
11160 Wj Presley Pkwy
Allendale, MI 49401
Phone: (616) 252-4410
250 Cherry SE
Grand Rapids, MI 49503
Phone: (616) 752-5600
844 Washington Ave Ste 2700
Holland, MI 49423-7139
Phone: (616) 748-5785
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Feb 01, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for KEVIN BRADER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidMI4877984
medicaidMI4807756
medicaidMI4876815
medicaidMI4608995
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207VX0201X
- Obstetrics & Gynecology / Gynecologic Oncology (Primary)		 MI 4301083612

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL - Graduated 1990
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
KEVIN BRADER is affiliated with the following medical group(s):
  • HOSPITAL
    • HOLLAND COMMUNITY HOSPITAL
      602 MICHIGAN AVE
      HOLLAND, MI 49423
    • MERCY HEALTH SAINT MARY'S
      200 JEFFERSON AVENUE SE
      GRAND RAPIDS, MI 49503
    • UNIVERSITY OF MICHIGAN HEALTH - WEST
      5900 BYRON CENTER AVENUE, SW
      WYOMING, MI 49519

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.