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C R ALDERDICE D O
NPI 1972807147
Family Medicine in Saint Joseph, MI

Active since January 03, 2011
1906 LANGLEY AVE, SAINT JOSEPH, MI 49085(269) 982-1722 Get Directions Write a Review

NPPES record last updated: January 3, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About C R Alderdice D O NPPES

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

C R ALDERDICE D O (NPI 1972807147) is a healthcare organization registered as a family medicine in Saint Joseph, Michigan and active in the NPI registry since January 2011. The organization lists Charles Alderdice, Physician, as its authorized official.

NPPES Registry Identity

NPI1972807147
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameC R ALDERDICE D O
Location Address1906 LANGLEY AVESaint Joseph, MI 49085-1739
Mailing Address1906 Langley AveSaint Joseph, MI 49085-1739 · (269) 982-1722
Phone(269) 982-1722
Organization SubpartNo
Authorized OfficialCharles AlderdicePhysician · (269) 982-1722
Enumeration DateJanuary 3, 2011
✔ NPI 1972807147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 5101008526
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1906 LANGLEY AVE, Saint Joseph, MI 49085
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Other Identifiers 5

Other5110022Medicare Ptan
Other5110022MI · Blue Cross
Medicare UPINE25585
Other5083312Aetna Pin
Medicaid1607063MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. CHARLES RAY ALDERDICE D.O.
Family Medicine
1906 LANGLEY AVE
SAINT JOSEPH, MI 49085
Berrien County (269) 982-1722

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 C R Alderdice D O's NPI number?

The NPI number for C R Alderdice D O is 1972807147. It was assigned to this organization in the NPPES registry on January 3, 2011.

Where is C R Alderdice D O located?

C R Alderdice D O is located at 1906 Langley Ave, Saint Joseph, MI 49085. The listed phone number is (269) 982-1722.

What is C R Alderdice D O's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for C R Alderdice D O was last updated on January 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.