NPPES file of Aug 9, 2026

Brett Justin Mollard, M.D.

Diagnostic Radiology Physician · Grand Rapids, MI

Brett Justin Mollard, M.D. is a diagnostic radiology physician with a practice address in Grand Rapids, Michigan, and NPI 1669796223, issued on Mar 24, 2010. Check the license (Michigan 4301098145, as entered in NPPES) on the Michigan Board of Medicine (LARA); the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1669796223
Name
Brett Justin Mollard
Credential
M.D.
Primary taxonomy
Diagnostic Radiology Physician 2085R0202X
License numbers
4301098145 MI
MD60646257 WA
Self-reported in NPPES; status is on the state search
Practice location
3264 N Evergreen Dr NE, Grand Rapids, MI 49525
Phone
(616) 363-7272
Enumerated
Mar 24, 2010
Record last updated
Aug 1, 2022
Fax
(616) 361-5828
Medicaid ID
2058603 WA
Medicare enrollment
Enrolled (PECOS I20160624002075); accepts Medicare assignment
Medical or professional school
Wayne State University School Of Medicine, 2010
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 3264 N Evergreen Dr NE

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Eyoome Agbley, PA-CPhysician Assistant1457724965
  2. Samer Aida, M.D.Diagnostic Radiology Physician1699114926
  3. Abdul-Rahman Albeiruti, M.D.Diagnostic Radiology Physician1255529285
  4. Scott Allen, MDDiagnostic Radiology Physician1912347725
  5. Timothy Alves, M.D.Diagnostic Radiology Physician1720379910
  6. Jesse Amezaga, MDDiagnostic Radiology Physician1386683209

Verify Brett Justin Mollard in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersMichigan Board of Medicine (LARA)
    Search for license 4301098145    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Michigan license search

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Bills Medicare through 2 group practices

  1. North Shore-Lij Medical PCTacoma, WA
  2. Southside Faculty Medical Affiliates University Faculty Practice CorpTacoma, WA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

262 diagnostic radiology physician records list a practice address in Grand Rapids

They are 262 of the 18,005 NPPES records with a practice address in Grand Rapids, and 1,584 diagnostic radiology physician records in Michigan.

All 262 in Grand Rapids → All 1,584 in Michigan → Every provider in Grand Rapids →

Other diagnostic radiology physician records in Michigan

  1. Anjelica Abate, MDAnn Arbor, MI1841819216
  2. Omar Abbas, MDDearborn, MI1255225751
  3. Samah Abdalla, MBBSGrand Rapids, MI1063216380
  4. Fady Abdelsayed, M.D.Southfield, MI1659664738
  5. Sarah AbdulhamidDetroit, MI1205491800
  6. Mohammad Abdulla, DORoyal Oak, MI1093338188
  7. Rasheed Abdullah, MDRoyal Oak, MI1023851847
  8. Gerald Aben, MDEast Lansing, MI1689632911
  9. Reza Abghari, M.D.Dearborn, MI1891742672
  10. Kamil Abu-Shaban, MDRoyal Oak, MI1114615739

Common questions

What is Brett Justin Mollard, M.D.'s NPI number?

Brett Justin Mollard, M.D.'s National Provider Identifier (NPI) is 1669796223, issued on Mar 24, 2010. An NPI identifies a provider in billing; it is not a license.

Where is Brett Justin Mollard, M.D. located?

The NPPES record lists a practice address at 3264 N Evergreen Dr NE, Grand Rapids, MI, 49525. Phone: (616) 363-7272. Providers update this record themselves, so call before visiting.

How can I verify Brett Justin Mollard, M.D.'s license?

NPPES lists Michigan license number 4301098145, as entered by the provider. Search the Michigan Board of Medicine (LARA) at https://aca-prod.accela.com/MILARA/GeneralProperty/PropertyLookUp.aspx?isLicensee=Y&TabName=APO. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.