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

Charles Jay Vandenberg IV, DO

Individual provider Internal Medicine Physician · NPI 1750638516

Charles Jay Vandenberg IV, DO is an Internal Medicine in Manistee, Michigan. Graduated from At Still University of Health Sciences, College of Osteo Med, Kirksville in 2012, 14 years ago. Practices with Munson Healthcare Manistee Hospital, a 29-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Michigan and Missouri.

Years since qualifying
14
Trained at
At Still University of Health Sciences, College of Osteo Med, Kirksville
Licensed in
MI, MO
In the registry since
2012
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1293 E Parkdale Ave
Manistee, MI 49660-8904
Phone: (231) 398-1840
Show map & directions

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

Additional practice locations (2)

  • 1391 E Parkdale Ave, Manistee, MI 49660-9352 — (231) 398-1760
  • 5085 Anna Dr Ste B&C, Traverse City, MI 49684-7475 — (231) 935-5900

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 5101021764 (MI)
Internal Medicine Physician Taxonomy 207R00000X · Licence 2012020880 (MO)

Record details

NPI number1750638516
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedAugust 12, 2012
Last updated in NPPESSeptember 16, 2024
Certification dateSeptember 16, 2024
Mailing address1391 E Parkdale Ave, Manistee, MI 49660-9352

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolAT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated 2012 (14 years in practice)
Group practice Munson Healthcare Manistee Hospital — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Manistee