NPIMap

Organization Active NPI

Bone & Joint Institute P C

  • Orthopaedic Surgery Physician
  • Port Huron, MI
National Provider Identifier
1285817700
Registry record updated May 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
BONE & JOINT INSTITUTE P C
Practice address
600 Fort St
Suite 100
Port Huron, MI 48060-3941
Phone
(810) 987-9871
Fax
(810) 987-6070
NPI assigned
Dec 6, 2007
Organization subpart
Yes
Parent organization
BONE & JOINT INSTITUTE P CAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 6, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Gerald Jerry, M.D.
Title
President
Phone
(810) 987-9871

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

600 Fort St
Suite 100
Port Huron, MI 48060-3941

Mailing address

600 Fort St
Suite 100
Port Huron, MI 48060-3941
Phone (810) 987-9871

Other identifiers 1

IdentifierTypeStateIssuer
540G411560OtherMIBCBS OF MI SUPPLIER PIN

National Provider Directory

National Provider Directory
Tax ID family
Bone Joint Rehabilitation Center3 organizations share this tax ID, including this one
Part of
Bone Joint Rehabilitation Center

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588723200000",
    "number": "1285817700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 FORT ST",
            "address_2": "SUITE 100",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603941",
            "telephone_number": "810-987-9871",
            "fax_number": "810-987-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 FORT ST",
            "address_2": "SUITE 100",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603941",
            "telephone_number": "810-987-9871",
            "fax_number": "810-987-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONE & JOINT INSTITUTE P C",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BONE & JOINT INSTITUTE P C",
        "enumeration_date": "2007-12-06",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A",
        "authorized_official_last_name": "JERRY",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-987-9871",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MI SUPPLIER PIN",
            "identifier": "540G411560",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Huron, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.