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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PAI PARTICIPANT 23 SC
NPI 1528674801
Internal Medicine - Geriatric Medicine in Shawano, WI

Active since September 22, 2020
1475 BIRCH HILL LN, SHAWANO, WI 54166(715) 526-3161 Get Directions Write a Review

NPPES record last updated: August 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 13, 2026, Sep 22, 2020 (2 updates tracked since 2020).

About Pai Participant 23 Sc NPPES

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

PAI PARTICIPANT 23 SC (NPI 1528674801) is a healthcare organization registered as a geriatric medicine in Shawano, Wisconsin and active in the NPI registry since September 2020. The organization lists Brittain Brantley, Acting President, as its authorized official.

NPPES Registry Identity

NPI1528674801
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NamePAI PARTICIPANT 23 SC
Location Address1475 BIRCH HILL LNShawano, WI 54166-3707
Mailing AddressPo Box 639676Cincinnati, OH 45263-9676 · (859) 291-4800 · Fax (859) 655-8588
Phone(715) 526-3161
Organization SubpartNo
Authorized OfficialBrittain BrantleyActing President · (302) 300-5138
Enumeration DateSeptember 22, 2020
Last NPPES UpdateAugust 13, 20262 updates tracked since enumeration
NPPES CertifiedAugust 13, 2026
✔ NPI 1528674801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
1475 BIRCH HILL LN, Shawano, WI 54166
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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 4

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

NSH SHAWANO-BIRCH LLC
Skilled Nursing Facility
1475 BIRCH HILL LN
SHAWANO, WI 54166
Shawano County (715) 526-3161
JULIE MARIE HERMSEN
Physical Therapy Assistant
1475 BIRCH HILL LN
SHAWANO, WI 54166
Shawano County (715) 526-3161
KAITLYN ROSE SPRANGERS CCC-SLP
Speech-Language Pathologist
1475 BIRCH HILL LN
SHAWANO, WI 54166
Shawano County (715) 526-3161
BIRCH HILL CARE CENTER LLC
Skilled Nursing Facility
1475 BIRCH HILL LN
SHAWANO, WI 54166
Shawano County (715) 526-3161

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 Pai Participant 23 Sc's NPI number?

The NPI number for Pai Participant 23 Sc is 1528674801. It was assigned to this organization in the NPPES registry on September 22, 2020.

Where is Pai Participant 23 Sc located?

Pai Participant 23 Sc is located at 1475 Birch Hill Ln, Shawano, WI 54166. The listed phone number is (715) 526-3161.

What is Pai Participant 23 Sc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

When was this NPI record last updated?

The NPPES record for Pai Participant 23 Sc was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.