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

Colton C Prudnick, DO

Individual provider Urology Physician · NPI 1619380334

Colton C Prudnick, DO is an Urology in East Lansing, Michigan. Graduated from West Virginia School of Osteopathic Medicine in 2014, 12 years ago. Practices with Memorial Hospital, a 206-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
12
Trained at
West Virginia School of Osteopathic Medicine
Licensed in
MI
In the registry since
2014
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

4660 S Hagadorn Rd Ste 210
East Lansing, MI 48823-5353
Phone: (517) 355-4205
Fax: (517) 364-8119
Show map & directions

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

Additional practice locations (1)

  • 601 John St Ste M-318, Kalamazoo, MI 49007-5383 — (269) 349-9745

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 5101025083 (MI)

Record details

NPI number1619380334
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJune 10, 2014
Last updated in NPPESNovember 20, 2023
Certification dateNovember 20, 2023
Mailing address804 Service Rd Ste A109b, East Lansing, MI 48824-7015

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolWEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduated 2014 (12 years in practice)
Group practice Memorial Hospital — 206 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

Other providers in East Lansing