Brian J Decker, MD
Family Medicine in Jenison, MI. Individual provider (NPI-1).
NPI number1801809157
StatusActive
Last updated in NPPESSep 12, 2012
Details
- NPI
- 1801809157
- Entity type
- Individual (NPI-1)
- Name
- Brian J Decker
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 15, 2006
- Last updated
- Sep 12, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - FAMILY PRACTICE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- 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 |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 4301084359 | MI | Yes |
Practice location
7782 20th AveJenison, MI 49428
Phone 616-685-8700
Mailing address
245 State St SeGrand Rapids, MI 49503
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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.
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All 13 Family Medicine Physician providers in Jenison · All 435 providers in Jenison
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