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

Brandon J Manderle, MD

Individual provider Family Medicine Physician · NPI 1013576271

Brandon J Manderle, MD is a Family Practice in Portage, Michigan. Graduated from Medical College of Wisconsin in 2018, 8 years ago. Practices with Bronson Methodist Hospital, a 719-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
8
Trained at
Medical College of Wisconsin
Licensed in
MI
In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2700 E Centre Ave
Portage, MI 49002-5500
Phone: (269) 286-7050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1000 Oakland Dr, Kalamazoo, MI 49008-1282 — (269) 349-2641

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4301505916 (MI)

Record details

NPI number1013576271
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 11, 2019
Last updated in NPPESJuly 27, 2022
Certification dateJuly 27, 2022
Mailing address601 John Street, Box 39, Kalamazoo, MI 49007-1282

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2018 (8 years in practice)
Group practice Bronson Methodist Hospital — 719 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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