Organization Active NPI

Biocare Medicine PLLC

  • Family Medicine Physician
  • Traverse City, MI
National Provider Identifier
1619586047
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BIOCARE MEDICINE PLLC
Practice address
3271 Racquet Club Dr
Traverse City, MI 49684-4708
Phone
(231) 735-8006
Fax
(231) 735-8023
NPI assigned
Jul 31, 2020
Last updated
Sep 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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

Authorized official

Name
James Berg, PANPI 1962442251
Title
Coo
Phone
(231) 590-2738

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

3271 Racquet Club Dr
Traverse City, MI 49684-4708

Mailing address

3271 Racquet Club Dr
Traverse City, MI 49684-4708
Phone (231) 735-8006

National Provider Directory

National Provider Directory

Locations

3271 Racquet Club Dr
Traverse City, MI 49684
Phone (231) 735-8006

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1596153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600905600000",
    "number": "1619586047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3271 RACQUET CLUB DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496844708",
            "telephone_number": "231-735-8006",
            "fax_number": "231-735-8023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3271 RACQUET CLUB DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496844708",
            "telephone_number": "231-735-8006",
            "fax_number": "231-735-8023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOCARE MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-31",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "231-590-2738",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.