Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brightwave Pain Therapy, PC

Organization Pain Clinic/Center · NPI 1962062703

Brightwave Pain Therapy, PC is a Pain Clinic/Center in Grand Rapids, Michigan. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

751 Kenmoor Ave SE
Grand Rapids, MI 49546-2388
Phone: (616) 608-5551
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Clinic/Center (primary) Taxonomy 261QP3300X

Record details

NPI number1962062703
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Willman — President · (616) 608-5551
Other names Brightwave Pain Therapy
NPI enumeratedJune 14, 2019
Last updated in NPPESJune 14, 2019
Mailing address751 Kenmoor Ave Se, Grand Rapids, MI 49546-2388

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