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

Individual provider Family Medicine Physician · NPI 1295847739

Dr. Gordon R Bleil, MD is a Family Practice in South Haven, Michigan. Graduated from Michigan State University College of Human Medicine in 1990, 36 years ago. Practices with Bronson Lakeview Hospital, a 72-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
36
Trained at
Michigan State University College of Human Medicine
Licensed in
MI
In the registry since
2006
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

955 S Bailey Ave
South Haven, MI 49090-9701
Phone: (269) 639-2910
Fax: (269) 639-2919
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 056047 (MI)

Record details

NPI number1295847739
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 31, 2006
Last updated in NPPESNovember 22, 2016
Mailing address955 S Bailey Ave, South Haven, MI 49090-9701

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated 1990 (36 years in practice)
Group practice Bronson Lakeview Hospital — 72 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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