Active NPI
Bobby D Sage DPM & Associates
- Foot & Ankle Surgery Podiatrist
- Grand Blanc, MI
National Provider Identifier
1013048834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 5901000802
- Legal business name
- BOBBY D SAGE DPM & ASSOCIATES
- Practice address
- 3600 Genesys Pkwy
Grand Blanc, MI 48439-8070 - Phone
- (810) 606-6950
- Fax
- (810) 606-6953
- NPI assigned
- Mar 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bobby D Sage, DPM
- Title
- Owner
- Phone
- (810) 606-6950
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 5901000802 | MI | Primary |
Addresses
Primary practice location
3600 Genesys Pkwy
Grand Blanc, MI 48439-8070
Mailing address
3600 Genesys Pkwy
Grand Blanc, MI 48439-8070
Phone (810) 606-6950
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 480B514250 | Other | MI | BLUE CARE NETWORK |
| C5250 | Other | MI | MCARE |
| 4B825564 | Other | HEALTH PLUS OF MI | |
| 540B514220 | Other | MI | BLUE CROSS DME |
| 480B514250 | Other | MI | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
3600 Genesys Pkwy
Grand Blanc, MI 48439
Phone (810) 606-6950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209081600000",
"number": "1013048834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 GENESYS PKWY",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484398070",
"telephone_number": "810-606-6950",
"fax_number": "810-606-6953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 GENESYS PKWY",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484398070",
"telephone_number": "810-606-6950",
"fax_number": "810-606-6953"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOBBY D SAGE DPM & ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-07",
"last_updated": "2008-04-25",
"status": "A",
"authorized_official_last_name": "SAGE",
"authorized_official_first_name": "BOBBY",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "810-606-6950",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "MI",
"license": "5901000802",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE NETWORK",
"identifier": "480B514250",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCARE",
"identifier": "C5250",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLUS OF MI",
"identifier": "4B825564",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS DME",
"identifier": "540B514220",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "480B514250",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grand Blanc, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.