BRADLEY L WILLOUGHBY (MD) – Urology Physician, NPI 1891790507

BRADLEY L WILLOUGHBY (MD) is a healthcare provider. based in Holland, Michigan. specializing in Urology Physician. They hold the professional credentials MD. They hold a License No. 4301052455 (MI). The NPI Number for BRADLEY L WILLOUGHBY (MD) is 1891790507

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
BRADLEY L WILLOUGHBY (MD)
NPI
1891790507
Phone
(616) 392-1816
Address
577 MICHIGAN AVE
Enumeration Date
17 June 2005
Last Update Date
29 July 2015

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
6163921816
Graduation Year
1983 (43 years ago)
PAC ID
0941305189
Group Practice PAC ID
0446157291
Professional Enrollment ID
I20070418000060
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 BRADLEY L WILLOUGHBY (MD)

  • Lakeshore Health Partners - General Surgery, 577, Michigan Avenue, Holland, Ottawa County, Michigan, 49423, United States

    SUITE 201

    HOLLAND, MI 494234911

    Phone: (616) 392-1816

    Fax: (616) 392-1292

    Mailing address matches the actual address.

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

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

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

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Medicare Utilization (FFS)

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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 49423)

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Provider's Procedures

BRADLEY L WILLOUGHBY (MD) performs procedures in Urology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
UROLOGYMI51798Ultrasound measurement of bladder capacity after voiding2828
UROLOGYMI81002Urinalysis, manual test4641

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: 0446157291View full group profile
NameSpecialtyState
DELANIE GRACE VANPELT (LMSW)
Clinical Social WorkerMI
CARLI DENHOLM DONNELLY (M.D.)
Internal MedicineMI
JENNIFER RAE JARRELL (NP-C)
Nurse PractitionerMI
WILLIAM BARRY BONZELAAR (M.D.032354)
-MI
ERIN E BREUKER (LMSW)
-MI
MARY LOUISE HASENAUER (N.P.)
-MI
Unknown Individual
-MI
DR. JILLIAN ANN LANKFORD (MD)
P S Y C H I A T R YMI
KAREN LYNN FOULDS (M.D.)
Family PracticeMI
MRS. ELIZABETH JOY MULDER (ANP)
-MI

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Frequently asked questions

What unique ID ties claims to BRADLEY L WILLOUGHBY (MD)?
NPI 1891790507 is assigned to BRADLEY L WILLOUGHBY (MD) under the national enumeration system.
Is BRADLEY L WILLOUGHBY (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize BRADLEY L WILLOUGHBY (MD)'s specialty in plain language?
Clinically, the directory lists BRADLEY L WILLOUGHBY (MD) with Urology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for BRADLEY L WILLOUGHBY (MD)?
The page summarizes Holland, Michigan for BRADLEY L WILLOUGHBY (MD); expand the address list for detail.
How can I contact BRADLEY L WILLOUGHBY (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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