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

Bronson Vicksburg Hospital, Inc

Organization Psychologist · NPI 1770597494

Bronson Vicksburg Hospital, Inc is a Psychologist in Vicksburg, Michigan. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13326 N Boulevard St
Vicksburg, MI 49097-1514
Phone: (269) 649-2321
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X
Psychologist Taxonomy 103T00000X

Record details

NPI number1770597494
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBronson Vicksburg Hospital
Authorized official Denise Bartz — Contract Credentialing Coordinator · (269) 341-7806
Other names Bronson Vicksburg Emergency Physicians
NPI enumeratedJuly 28, 2006
Last updated in NPPESDecember 15, 2010
Mailing address601 John St, Box 42, Kalamazoo, MI 49007-5341

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