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

Vital Medical Group PC

Organization Neurological Surgery Physician · NPI 1316564560

Vital Medical Group PC is a Neurological Surgery Physician in Pontiac, Michigan. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
6
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

35 S Johnson St Ste 1B
Pontiac, MI 48341-1660
Phone: (313) 463-8676
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Clinic/Center (primary) Taxonomy 261QP3300X
Neurological Surgery Physician Taxonomy 207T00000X
Neurology Physician Taxonomy 2084N0400X
Pain Medicine (Psychiatry & Neurology) Physician Taxonomy 2084P2900X
Pain Medicine Physician Taxonomy 208VP0000X
Interventional Pain Medicine Physician Taxonomy 208VP0014X

Record details

NPI number1316564560
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Herbert Issac — Owner · (313) 463-8676
NPI enumeratedJuly 2, 2020
Last updated in NPPESJuly 2, 2020
Certification dateJuly 2, 2020
Mailing address35 S Johnson St Ste 1b, Pontiac, MI 48341-1660

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