Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Brook G. Hanson, PA-C

Individual provider Physician Assistant · NPI 1932273687

Brook G. Hanson, PA-C is a Physician Assistant in Grand Rapids, Michigan. Graduated from University of Utah School of Medicine in 1999, 27 years ago. Practices with Theoria Medical, a 342-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan, Utah and Washington.

Years since qualifying
27
Trained at
University of Utah School of Medicine
Licensed in
MI, UT, WA
In the registry since
2006
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

770 Kenmoor Ave SE Ste 100
Grand Rapids, MI 49546-8602
Phone: (616) 272-3533
Fax: (616) 259-4839
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 900 S Beacon Blvd, Grand Haven, MI 49417-2146 — (616) 296-7300

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601012618 (MI)
Physician Assistant Taxonomy 363A00000X · Licence 375277-1206 (UT)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA60747580 (WA)

Record details

NPI number1932273687
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedNovember 17, 2006
Last updated in NPPESApril 8, 2026
Certification dateApril 8, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 1999 (27 years in practice)
Group practice Theoria Medical — 342 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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