Rolland Mambourg, MD
NPI 1417294620 · Family Medicine Physician · Grand Rapids, MI
Rolland Mambourg, MD is a Family Medicine Physician provider in Grand Rapids, MI (NPI 1417294620).
Provider details
- NPI number
- 1417294620
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 4301039783 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-01-08
- Last updated
- 2013-01-08
Frequently asked questions
- What is Rolland Mambourg's NPI number?
- Rolland Mambourg's National Provider Identifier (NPI) is 1417294620, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Rolland Mambourg's specialty?
- Rolland Mambourg is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Rolland Mambourg located?
- Rolland Mambourg's practice location on file with NPPES is 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502.
- What is Rolland Mambourg's phone number?
- The practice phone number listed in the NPPES registry for Rolland Mambourg is (616) 685-6612.
- Is Rolland Mambourg's NPI active?
- Yes — Rolland Mambourg's NPI (1417294620) is active in the NPPES registry as of the last update on 2013-01-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.