Matthew Brower
Physician Assistant in Wyoming, MI. Individual provider (NPI-1).
NPI number1205174604
StatusActive
Last updated in NPPESFeb 16, 2021
Details
- NPI
- 1205174604
- Entity type
- Individual (NPI-1)
- Name
- Matthew Brower
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 21, 2013
- Certification date
- Feb 16, 2021
- Last updated
- Feb 16, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 5601006586 | MI | Yes |
Practice location
6105 Wilson Ave SwSuite 101
Wyoming, MI 49418-9714
Phone 616-608-8300 · Fax 616-608-8301
Mailing address
100 Michigan St NeMc 845
Grand Rapids, MI 49503-2560
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Physician Assistant providers in Wyoming, MI
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- Tucker Bronson, PACNPI 1346918935
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All 66 Physician Assistant providers in Wyoming · All 1,991 providers in Wyoming
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