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St Claire Shores Medical Pllc

Medical Specialty Clinic/Center in Saint Clair Shores, MI · enumerated 2008 · authorized official Bernard Shelton, Sole Proprietor.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1316194640

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Registry record

Entity type Organization (Type 2)
Legal business name St Claire Shores Medical Pllc
Practice address 30140 Harper Ave, Suite 300, Saint Clair Shores, MI, 48082
Fax (586) 293-1869
Enumeration date Aug 18, 2008
Last updated in NPPES Oct 8, 2014

Taxonomy & classification

261QM2500X Medical Specialty Clinic/Center Ambulatory Health Care Facilities · License 4301088798 (MI) Primary

Authorized official

Name Bernard Shelton
Title Sole Proprietor

Other identifiers

Identifier Type State Issuer
0502329 Other MI BCBS
1417032491 Other MI NPI
70-0-F32947-0 Other MI BCBS CPIN#
4945780-10 Medicaid MI -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is St Claire Shores Medical Pllc?
St Claire Shores Medical Pllc is registered in NPPES as a Medical Specialty Clinic/Center (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-10-08.