Individual provider Active NPI

Peter Bernard Wollschlaeger, M.D., M.P.H

  • Family Medicine Physician
  • Bay City, MI
National Provider Identifier
1245364504
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301068371 Issued in MI
Practice address
1111 N Water St Ste 201
Bay City, MI 48708-5673
Phone
(517) 974-6227
NPI assigned
Mar 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301068371 MI Primary

Addresses

Primary practice location

1111 N Water St Ste 201
Bay City, MI 48708-5673

Mailing address

1111 N Water St Ste 201
Bay City, MI 48708-5673
Phone (517) 974-6227

Other identifiers 3

IdentifierTypeStateIssuer
0P31090OtherGROUP # MEDICARE
0N77190OtherMIGROUP MEDICARE ID
0N77190004OtherMIMEDICARE PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1245364504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 N WATER ST STE 201",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487085673",
            "telephone_number": "517-974-6227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N WATER ST STE 201",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487085673",
            "telephone_number": "517-974-6227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLLSCHLAEGER",
        "first_name": "PETER",
        "middle_name": "BERNARD",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301068371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP # MEDICARE",
            "identifier": "0P31090",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE ID",
            "identifier": "0N77190",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "0N77190004",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; 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.