Benjamin Radue
Physician β’ Grand Rapids, MI
1115 Ball Ave Ne
Grand Rapids, MI 495055904
Phone: 6164566571
Location details and other listingsThis profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
This NPI Is Deactivated in NPPES
NPPES lists this NPI as deactivated as of May 15, 2018; the reason is not published. The records below are historical. They do not show whether Benjamin Radue currently practices or holds a license; check the state medical board for current license status.
Practice Location & Contact Primary Location
1115 Ball Ave Ne
Grand Rapids, MI 495055904
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Physician: NPPES taxonomy is a reported classification, not proof of board certification.
NPI first issued
2015
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Compared with the same specialty in Grand Rapids and Michigan
Comparisons are not shown because NPPES lists this NPI as deactivated.
Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo Β· Report an error.
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 251S00000X
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
NPPES lists this NPI as deactivated as of May 15, 2018; the reason is not published.
NPI status registered as active in NPPES database
Registered at 1115 BALL AVE NE, GRAND RAPIDS, MI 495055904 (Tel: 6164566571)
Registered at 158 MANZANA CT NW APT 3B, WALKER, MI 495345798 (Tel: 9062801850)
Recorded as BENJAMIN RADUE
Community/Behavioral Health
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
158 Manzana Ct Nw Apt 3b
Walker, MI 495345798
Phone: 9062801850