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

Braton Fredline, PA-C

Individual provider Physician Assistant · NPI 1740733401

Braton Fredline, PA-C is a Physician Assistant in Grand Rapids, Michigan. Qualified in 2016, 10 years ago. Practices with Pine Rest Christian Mental Health Services, a 353-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan and Oregon.

Years since qualifying
10
Licensed in
MI, OR
In the registry since
2016
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

300 68th St SE
Grand Rapids, MI 49548-6927
Phone: (616) 455-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3950 17th St Ste A, Baker City, OR 97814-1300 — (541) 523-1001

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601012396 (MI)
Physician Assistant Taxonomy 363A00000X · Licence PA190887 (OR)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1740733401
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 29, 2016
Last updated in NPPESApril 29, 2024
Certification dateApril 29, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Pine Rest Christian Mental Health Services — 353 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Grand Rapids