DR. CHARLES JOHN GWIZDALA M.D. NPI 1326045840

NPI Information

NPI: 1326045840
Provider Name: DR. CHARLES JOHN GWIZDALA, M.D.
Classification: Internal Medicine - 207RP1001X
Specialization: Pulmonary Disease
Entity Type: Individual
PECOS Registration: Yes
Address: 5087 N ROYAL DR
TRAVERSE CITY, MI
ZIP 49684
Phone: (231) 935-0440

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NPI Details

DR. Charles John Gwizdala, M.D. is a pulmonary disease internal medicine in Traverse City, MI. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. DR. Charles John Gwizdala, M.D. NPI is 1326045840. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5087 N ROYAL DR
TRAVERSE CITY, MI
ZIP 49684-987
Phone: (231) 935-0440
Fax: (231) 935-0445

The NPI 1326045840 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/30/2005 and was last updated on 10/14/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0200X	Internal Medicine	Critical Care Medicine	4301051700	MICHIGAN	No
2	207RS0012X	Internal Medicine	Sleep Medicine	4301051700	MICHIGAN	No
3	207RP1001X	Internal Medicine	Pulmonary Disease	4301051700	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0B81008	OTHER	MICHIGAN	BCBS
2	3307861	MEDICAID	MICHIGAN
3	290008345	OTHER	MICHIGAN	RAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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