West Branch Family Practice PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101013179 Issued in MI

Legal business name

WEST BRANCH FAMILY PRACTICE PC

Practice address

611 Court Street
West Branch, MI 48661-0903

Phone

(989) 516-4317

Fax

(989) 345-5803

NPI assigned

Mar 25, 2009

Last updated

Mar 25, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

John C Urban, DO

Title

Medical Director

Phone

(989) 516-4317

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1237939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237939200000",
    "number": "1225270002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "959 WEST M-61",
            "city": "STANDISH",
            "state": "MI",
            "postal_code": "486589307",
            "telephone_number": "989-516-4317",
            "fax_number": "989-345-5803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 COURT STREET",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486610903",
            "telephone_number": "989-516-4317",
            "fax_number": "989-345-5803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST BRANCH FAMILY PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-25",
        "last_updated": "2009-03-25",
        "status": "A",
        "authorized_official_last_name": "URBAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "989-516-4317",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101013179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Wend
• Hannah Wenkel
• West Branch Chiropractic Center, PC
• West Branch Eyecare P.C. (Lesley Lenahan Finkbeiner)
• West Branch Family Dentistry, PLLC
• West Branch Geriatric Village, Inc (bortz health care of west branch)
• West Branch Neruology
• West Branch Opco, LLC (The Villa at West Branch)
• West Branch Pediatrics
• West Branch Pharmacy LLC

• Family Medicine Physician in West Branch, MI
• Providers in West Branch, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.