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NPI · 1417294620 · NPPES-sourced

Dr. Rolland Mambourg MD

ActiveFamily Medicine
NPI Number
1417294620
Type 1 · Individual
Taxonomy Code
207Q00000X
Contact
(616) 685-6612
License MI · 4301039783
Last Updated
Enumerated
Primary practice addressMI · 49503-4502
200 Jefferson Ave Se, Medical Staff OfficeGrand Rapids, MI 49503-4502
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About this NPIWhat this record shows.

NPI 1417294620 is registered to Dr. Rolland Mambourg MD, a Family Medicine practising at 200 Jefferson Ave Se, Medical Staff Office in Grand Rapids, Michigan. Family Medicine physicians provide comprehensive primary care for patients of all ages, including preventive care, chronic disease management, and acute illness treatment. Dr. Rolland Mambourg MD has been enumerated in the National Provider Identifier (NPI) registry since 2013.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Dr. Rolland Mambourg MD accepts. To confirm in-network status with your specific health plan, contact Dr. Rolland Mambourg MD directly at (616) 685-6612.

Frequently asked

Yes. NPI 1417294620 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Family Medicine physicians provide comprehensive primary care for patients of all ages, including preventive care, chronic disease management, and acute illness treatment.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (616) 685-6612.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Dr. Rolland Mambourg MD is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy207Q00000X
Last updated
Enumerated
StatusActive
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1 record · same addressOther providers at this location.

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Same specialtyOther Family Medicine providers in Michigan.

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