Birch Creek flows through Glacier and Pondera Counties in Montana, serving as a tributary to the Two Medicine River in the northern reaches of the state. This small mountain stream holds brook trout and cutthroat trout in its cold, clear waters. The creek originates in higher elevation terrain and flows through both US Forest Service land and private property before joining the Two Medicine River. While modest in size compared to Montana's famous blue-ribbon trout streams, Birch Creek offers anglers a chance to pursue wild trout in a more intimate setting. Access and fishing opportunities vary between the upper reaches in Glacier County and the lower sections in Pondera County, with portions flowing through the Blackfeet Indian Reservation requiring tribal permits.