Active NPI
Wellness Family Practice P.C.
- Family Medicine Physician
- Bay City, MI
National Provider Identifier
1457596223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- WELLNESS FAMILY PRACTICE P.C.
- Practice address
- 2110 16TH St
Suite 5
Bay City, MI 48708-7609 - Phone
- (989) 892-7722
- NPI assigned
- Dec 9, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. William E Berner
- Title
- Clinic Administrator
- Phone
- (989) 892-7722
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
2110 16TH St
Suite 5
Bay City, MI 48708-7609
Mailing address
1003 Woodside Ave
Essexville, MI 48732-1234
Phone (989) 892-7722
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457596223 | Medicaid | MI | |
| 080Z901190 | Other | MI | BCBS |
National Provider Directory
National Provider DirectoryLocations
2117 16th St
Bay City, MI 48708
Phone (989) 892-1549
2110 16th St
Ste 5
Bay City, MI 48708
Phone (989) 892-1544
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Bay City, MI
- NPI 1669490769
-
- Family Medicine Physician
- Saginaw, MI
- NPI 1083763924
-
- Physician Assistant
- Pinconning, MI
- NPI 1326397993
-
- Family Medicine Physician
- Seneca, SC
- NPI 1548327760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228780800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1474934400000",
"number": "1457596223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1003 WOODSIDE AVE",
"city": "ESSEXVILLE",
"state": "MI",
"postal_code": "487321234",
"telephone_number": "989-892-7722",
"fax_number": "989-892-7455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2110 16TH ST",
"address_2": "SUITE 5",
"city": "BAY CITY",
"state": "MI",
"postal_code": "487087609",
"telephone_number": "989-892-7722"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLNESS FAMILY PRACTICE P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-09",
"last_updated": "2016-09-27",
"status": "A",
"authorized_official_last_name": "BERNER",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
"authorized_official_telephone_number": "989-892-7722",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1457596223",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "080Z901190",
"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 Sep 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.