BRENDA LEE GRAHAM – Gerontology Nurse Practitioner, NPI 1114997624

BRENDA LEE GRAHAM is a healthcare provider. based in Grand rapids, Michigan. specializing in Gerontology Nurse Practitioner. They hold a License No. 4704218257 (MI). The NPI Number for BRENDA LEE GRAHAM is 1114997624

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
BRENDA LEE GRAHAM
NPI
1114997624
Phone
Not provided
Address
100 MICHIGAN ST NE
Enumeration Date
25 January 2006
Last Update Date
18 August 2014

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
6167722224
Graduation Year
2003 (23 years ago)
PAC ID
1355353483
Group Practice PAC ID
4587568647
Professional Enrollment ID
I20060608000037
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for BRENDA LEE GRAHAM

  • Spectrum Health Butterworth Hospital, 100, Michigan Street Northeast, Grand Rapids, Kent County, Michigan, 49503, United States

    MC 845

    GRAND RAPIDS, MI 495032560

    Phone:

    Type: Mailing

  • 7751, Byron Center Avenue Southwest, Byron Center, Byron Township, Kent County, Michigan, 49315, United States

    SUITE C

    BYRON CENTER, MI 493158001

    Phone: (616) 267-7668

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49503)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4587568647View full group profile
NameSpecialtyState
Critical Care (Intensivists)IL
Physician AssistantMI
Physician AssistantMI
Physician AssistantMI
-MI
Vascular SurgeryIL
-MI
-MI
A N E S T H E S I O L O G YTX
Clinical Social WorkerMI

Reviews

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Frequently asked questions

What number should I use to identify BRENDA LEE GRAHAM for billing?
Administrative and clinical systems typically use NPI 1114997624 for BRENDA LEE GRAHAM.
Should I treat BRENDA LEE GRAHAM as an active provider?
Patients and plans typically see BRENDA LEE GRAHAM as active in the national extract.
How should patients interpret BRENDA LEE GRAHAM's specialty?
The extract shows Gerontology Nurse Practitioner for BRENDA LEE GRAHAM. Clinical services aligned with this taxonomy classification.
Can patients visit BRENDA LEE GRAHAM in Grand Rapids, Michigan?
For routing, start with Grand Rapids, Michigan for BRENDA LEE GRAHAM, then verify phone and hours locally.
Why is information missing for BRENDA LEE GRAHAM?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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