Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Primary Care Physicians IV, PC

Organization Family Medicine Physician · NPI 1912224148

Primary Care Physicians IV, PC is a Family Medicine Physician in Eastpointe, Michigan. Registered with an NPI since 2010.

In the registry since
2010
Specialties on file
4
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

21331 Kelly Rd
Eastpointe, MI 48021-3265
Phone: (586) 498-8922
Fax: (586) 498-8935
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X
Pediatrics Physician Taxonomy 208000000X
General Practice Physician Taxonomy 208D00000X

Record details

NPI number1912224148
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Yvonne Gibson — Director Of Operations · (586) 498-8922
NPI enumeratedApril 28, 2010
Last updated in NPPESApril 28, 2010
Mailing address21331 Kelly Rd, Eastpointe, MI 48021-3265

Other providers in Eastpointe