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

Brandon D Ellsworth, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1689848459

Brandon D Ellsworth, MD is a Pathology in Grand Rapids, Michigan. Graduated from Loma Linda University School of Medicine in 2007, 19 years ago. Practices with Pathology Associates of Grand Rapids PC, a 9-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
19
Trained at
Loma Linda University School of Medicine
Licensed in
MI
In the registry since
2008
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

200 Jefferson Ave SE
Grand Rapids, MI 49503-4502
Phone: (616) 364-6700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 — (616) 252-7166

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 4301102483 (MI)

Record details

NPI number1689848459
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 14, 2008
Last updated in NPPESJuly 14, 2021
Certification dateJuly 14, 2021
Mailing addressPo Box 1629, Lima, OH 45802-1629

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Pathology Associates Of Grand Rapids Pc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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