BANGOR MEDICAL CENTER – NPI #1164467916
Family Medicine

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.

BANGOR MEDICAL CENTER is a provider located in BAY CITY, MI. NPPES has assigned the NPI number 1164467916 to BANGOR MEDICAL CENTER on June 17, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BANGOR MEDICAL CENTER” is a dba name, the actual legal business name for this organization is PINCONNING MEDICAL CENTER P.C.. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 5 years ago on Jun 29, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BANGOR MEDICAL CENTER below.

NPI Profile for
PINCONNING MEDICAL CENTER P.C.

NPI Number
1164467916
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PINCONNING MEDICAL CENTER P.C.
Doing Business As (dba): BANGOR MEDICAL CENTER
Primary location
4175 N EUCLID AVE STE 3
BAY CITY, MI 48706-2483
Phone: (899) 684-8183 Fax: (989) 684-8203
Mailing address
712 S TRUMBULL ST
BAY CITY, MI 48708-4211
Phone: (899) 684-8186 Fax: (989) 684-8203
Organization Subpart
Yes - BANGOR MEDICAL CENTER is subpart of another organization.
Authorized Official
WILLIAM BERNER
CLINIC ADMINISTRATOR
Phone: (989) 892-7722
Updated
Certification Date
Jun 29, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for BANGOR MEDICAL CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBCBSMI080Z910290
OTHERMCLAREN HEALTH1015890
MEDICAIDMI4190137
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.