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

Brent J Baese, AGNP-C

Individual provider Primary Care Nurse Practitioner · NPI 1265252449

Brent J Baese, AGNP-C is a Primary Care Nurse Practitioner in Portage, Michigan. Licensed in Michigan. Registered with an NPI since 2024.

Licensed in
MI
In the registry since
2024

Practice location Address checks out

4667 Fox Valley Dr Apt 1B
Portage, MI 49024-8149
Phone: (269) 251-4384
Show map & directions

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

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence AG03240063 (MI)

Record details

NPI number1265252449
Entity typeIndividual (Type 1)
GenderMale
Credentials AGNP-C
Sole proprietorNo
NPI enumeratedOctober 14, 2024
Last updated in NPPESOctober 14, 2024
Certification dateOctober 14, 2024

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