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

Alec Thomas Bonifer, MD

Individual provider Otolaryngology Physician · NPI 1407483167

Alec Thomas Bonifer, MD is an Otolaryngology in Grand Rapids, Michigan. Graduated from Wayne State University School of Medicine in 2020, 6 years ago. Practices with Spectrum Health Primary Care Partners, a 2,303-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
6
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4069 Lake Dr SE Ste 315
Grand Rapids, MI 49546-8816
Phone: (616) 267-7758
Show map & directions

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

Specialties & licences

Plastic Surgery within the Head & Neck (Otolaryngology) Physician (primary) Taxonomy 207YX0007X · Licence 4301513405 (MI)
Otolaryngology Physician Taxonomy 207Y00000X · Licence 4301513405 (MI)

Record details

NPI number1407483167
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 24, 2020
Last updated in NPPESJuly 31, 2025
Certification dateJuly 31, 2025
Mailing address100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Spectrum Health Primary Care Partners — 2303 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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