BIRCH SHORE PRIMARY CARE PLLC
NPI 1396609467
Internal Medicine in Manistee, MI

Active since December 12, 2025
3021 SCHOEDEL RD, MANISTEE, MI 49660(231) 397-9229 Get Directions Write a Review

NPPES record last updated: May 27, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 27, 2026, Dec 13, 2025 (2 updates tracked since 2025).

About Birch Shore Primary Care Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BIRCH SHORE PRIMARY CARE PLLC (NPI 1396609467) is a healthcare organization registered as an internal medicine in Manistee, Michigan and active in the NPI registry since December 2025. The organization lists Charles Jay Vandenberg, President, as its authorized official.

NPPES Registry Identity

NPI1396609467
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBIRCH SHORE PRIMARY CARE PLLC
Location Address3021 SCHOEDEL RDManistee, MI 49660-9753
Mailing Address3021 Schoedel RdManistee, MI 49660-9753 · (231) 397-9229
Organization SubpartYesParent: Northwoods Health Collective
Authorized OfficialCharles Jay VandenbergPresident · (660) 988-0795
Enumeration DateDecember 12, 2025
Last NPPES UpdateMay 27, 20262 updates tracked since enumeration
NPPES CertifiedMay 27, 2026
NPI 1396609467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3021 SCHOEDEL RD, Manistee, MI 49660

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse (Ambulatory Care)
3021 SCHOEDEL RD
MANISTEE, MI 49660
Home Health
3021 SCHOEDEL RD
MANISTEE, MI 49660

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Birch Shore Primary Care PLLC's NPI number?

The NPI number for Birch Shore Primary Care PLLC is 1396609467. It was assigned to this organization in the NPPES registry on December 12, 2025.

Where is Birch Shore Primary Care PLLC located?

Birch Shore Primary Care PLLC is located at 3021 Schoedel Rd, Manistee, MI 49660. The listed phone number is (231) 397-9229.

What is Birch Shore Primary Care PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Birch Shore Primary Care PLLC was last updated on May 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.