Provider Demographics
NPI:1700887320
Name:SIMMONS, CURTIS L (MD)
Entity type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:L
Last Name:SIMMONS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5352 BECKLEY RD
Mailing Address - Street 2:
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49015-4155
Mailing Address - Country:US
Mailing Address - Phone:269-979-6888
Mailing Address - Fax:
Practice Address - Street 1:5352 BECKLEY RD
Practice Address - Street 2:
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49015-4155
Practice Address - Country:US
Practice Address - Phone:269-979-6888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-04
Last Update Date:2021-11-11
Deactivation Date:2006-03-21
Deactivation Code:
Reactivation Date:2006-04-06
Provider Licenses
StateLicense IDTaxonomies
MICS061377207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0808266531OtherBCBSM
MI104740782Medicaid
MI383318175OtherFEIN
MI1104840529 - BRONSONOtherBCBS - BRONSON
MI1700887320Medicaid
MI104740782Medicaid
MI0808266531OtherBCBSM
MI0M20520108 - BRONSONMedicare PIN