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

Bronson South Haven Hospital

Organization Family Medicine Physician · NPI 1174749170

Bronson South Haven Hospital is a Family Medicine Physician in South Haven, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007
Specialties on file
4

Practice location Address checks out

950 S Bailey Ave
South Haven, MI 49090-8744
Phone: (269) 637-5271
Fax: (269) 639-2818
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 1060000042 (MI)
Internal Medicine Physician Taxonomy 207R00000X
Urgent Care Clinic/Center Taxonomy 261QU0200X
General Acute Care Hospital Taxonomy 282N00000X · Licence 800020 (MI)

Record details

NPI number1174749170
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rebecca East — Svp, Cfo · (269) 341-6000
Other names Bronson Medical Group; Bronson Medical Group
NPI enumeratedApril 18, 2007
Last updated in NPPESNovember 27, 2023
Certification dateSeptember 17, 2020
Mailing address601 John St, Box 42, Kalamazoo, MI 49007-5341

Other providers in South Haven