OrganizationActive
Brightwave Pain Therapy, PC
NPI 1962062703 · Pain Clinic/Center · Grand Rapids, MI
Brightwave Pain Therapy, PC is a Pain Clinic/Center organization in Grand Rapids, MI (NPI 1962062703).
Provider details
- NPI number
- 1962062703
- Entity type
- Organization
- Primary specialty
- Pain Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Donald Willman, President(616) 608-5551
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
751 Kenmoor Ave Se
Grand Rapids, MI 49546-2388
Phone: (616) 608-5551
Street-level locationGet directions
Mailing address
751 Kenmoor Ave Se
Grand Rapids, MI 49546-2388
Other names (DBA / former)
- Doing business as
- Brightwave Pain Therapy
Registry dates
- Enumerated
- 2019-06-14
- Last updated
- 2019-06-14
Frequently asked questions
- What is Brightwave Pain Therapy, PC's NPI number?
- Brightwave Pain Therapy, PC's National Provider Identifier (NPI) is 1962062703, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Brightwave Pain Therapy, PC?
- Brightwave Pain Therapy, PC is classified in the NPPES registry as Pain Clinic/Center (Ambulatory Health Care Facilities).
- Where is Brightwave Pain Therapy, PC located?
- Brightwave Pain Therapy, PC's practice location on file with NPPES is 751 Kenmoor Ave Se, Grand Rapids, MI 49546-2388.
- What is Brightwave Pain Therapy, PC's phone number?
- The practice phone number listed in the NPPES registry for Brightwave Pain Therapy, PC is (616) 608-5551.
- Who is the authorized official for Brightwave Pain Therapy, PC?
- The authorized official listed on Brightwave Pain Therapy, PC's NPPES record is Donald Willman, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Brightwave Pain Therapy, PC's NPI active?
- Yes — Brightwave Pain Therapy, PC's NPI (1962062703) is active in the NPPES registry as of the last update on 2019-06-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.