SARAH B. GENDERNALIK DO – NPI #1316141195
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

SARAH GENDERNALIK is a physician located in SAINT JOSEPH, MI. NPPES has assigned the NPI number 1316141195 to SARAH GENDERNALIK on June 13, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name SARAH ELIZABETH BROSKI. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 3 years ago on Jun 26, 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 SARAH GENDERNALIK below.

NPI Profile for
SARAH B. GENDERNALIK

NPI Number
1316141195
Enumeration Date

(about 19 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
SARAH B. GENDERNALIK
Former Name: SARAH ELIZABETH BROSKI
Credentials
DO
Primary location
147 PEACE BLVD
SAINT JOSEPH, MI 49085
Phone: (269) 429-5000 Fax: (269) 429-5081
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Certification Date
Jun 26, 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.

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
208D00000X
- General Practice (Primary)
MI 5101018001

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.