Look up the most recent NPI and PECOS records

Bradley Roger Martin

Physical Medicine & Rehabilitation

Allopathic & Osteopathic Physicians

200 Jefferson Ave SE, Grand Rapids, MI 49503-4502

PECOS Enrollment

This provider is enrolled in PECOS as BRADLEY MARTIN.

Based on the most recent information from CMS, provider Bradley Roger Martin is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 34 days ago.

Profile Details

Provider ID
1750171112
Provider Type
Individual
Full Name
Martin, Bradley Roger
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
5/8/2025
Last Updated
5/8/2025

Contact Information

Practice Location

200 Jefferson Ave SE, Grand Rapids, MI 49503-4502

(616) 685-6867

Unlisted Fax

Mailing Location

200 Jefferson Ave SE, Grand Rapids, MI 49503-4502

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208100000X Primary	Description Physical Medicine & Rehabilitation Allopathic & Osteopathic Physicians	License 4351055043 Michigan

Bradley Roger Martin

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Mary Free Bed Rehabilitation Hospital

Vandenberg, Jonathan Christian

Mousigian, Marianne

Doerr, Mitchell

Josephson, Kyle Douglas

Fromson, Andrea

Witzke, Jacquelyn

Lamm, Adam

Suzara, Dennis G

Halliday, Salina