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Birch Shore Primary Care Pllc

Internal Medicine Physician in Manistee, MI · enumerated 2025 · authorized official Charles Vandenberg, President.

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

National Provider Identifier

1396609467

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Registry record

Entity type Organization (Type 2)
Legal business name Birch Shore Primary Care Pllc
Parent organization Northwoods Health Collective
Practice address 3021 Schoedel Rd, Manistee, MI, 49660
Enumeration date Dec 12, 2025
Last updated in NPPES May 27, 2026

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Charles Vandenberg
Title President

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

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2026-05-27. Verify at npiregistry.cms.hhs.gov.
Where is Birch Shore Primary Care Pllc located?
The practice location on file with NPPES is in Manistee, MI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-05-27.