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

Dr. Darrell Jack Potter, MD

Individual provider Orthopaedic Surgery Physician · NPI 1265412605

Dr. Darrell Jack Potter, MD is an Orthopaedic Surgery Physician in Kentwood, Michigan. Practices as a sole proprietor. Licensed in Iowa, Michigan, Missouri and North Carolina.

Licensed in
IA, MI, MO, NC
In the registry since
2006
Specialties on file
4
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

5491 W Rosebud Ct SE #4
Kentwood, MI 49512-9464
Phone: (334) 322-3489
Show map & directions

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

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 4301030727 (MI)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 2006-01651 (NC)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence MD-42830 (IA)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 2016005465 (MO)

Record details

NPI number1265412605
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 20, 2006
Last updated in NPPESNovember 3, 2019
Mailing address6214 Sweet Clover Ln Se, Caledonia, MI 49316-8291

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