IndividualActive
Cody Carter, DO
NPI 1174012132 · Interventional Cardiology Physician · Grand Rapids, MI
Provider details
- NPI number
- 1174012132
- Entity type
- Individual
- Primary specialty
- Interventional Cardiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- Yes
- License
- 34.014756 (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
2900 Bradford St Ne
Grand Rapids, MI 49525-6427
Phone: (616) 885-5000
Fax: (616) 885-5020
Approximate (ZIP-level) locationGet directions
Mailing address
2900 Bradford St Ne
Grand Rapids, MI 49525-6427
Registry dates
- Enumerated
- 2018-05-05
- Last updated
- 2025-08-19
- Certified
- 2025-08-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.