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

Individual provider Dermatology Physician · NPI 1548250509

Dr. Brian J Gerondale, MD is a Dermatology in Grand Rapids, Michigan. Graduated from Uniformed Services Uhs Fe Hebert School of Med in 1989, 37 years ago. Practices with Dawm, PLC, an 18-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
37
Trained at
Uniformed Services Uhs Fe Hebert School of Med
Licensed in
MI
In the registry since
2005
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

1740 E Paris Ave SE
Grand Rapids, MI 49546-6204
Phone: (616) 949-5600
Fax: (616) 949-6571
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence BG076576 (MI)

Record details

NPI number1548250509
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 21, 2005
Last updated in NPPESJanuary 10, 2024
Certification dateJanuary 10, 2024

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolUNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Graduated 1989 (37 years in practice)
Group practice Dawm, Plc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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