Botsford General Hospital

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

BOTSFORD GENERAL HOSPITAL

Doing business as

Botsford Podiatry Clinic DH

Practice address

27031 W Warren St
Dearborn Heights, MI 48127-1901

Phone

(313) 274-4306

NPI assigned

Oct 5, 2010

Last updated

Aug 16, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

BOTSFORD GENERAL HOSPITALAs reported in NPPES

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

Authorized official

Name

Lesley Willbrandt

Title

Director Shared Services

Phone

(947) 522-1911

Specialties & licenses 1

Addresses

Other names 1

• Botsford Podiatry Clinic DH Doing business as

Part of

Botsford General HSP

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565913600000",
    "number": "1285943449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27031 W WARREN ST",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481271901",
            "telephone_number": "313-274-4306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOTSFORD GENERAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOTSFORD GENERAL HOSPITAL",
        "enumeration_date": "2010-10-05",
        "last_updated": "2019-08-16",
        "status": "A",
        "authorized_official_last_name": "WILLBRANDT",
        "authorized_official_first_name": "LESLEY",
        "authorized_official_title_or_position": "DIRECTOR SHARED SERVICES",
        "authorized_official_telephone_number": "947-522-1911"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Botsford Podiatry Clinic DH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Botsford Podiatry Clinic DH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristen Georgina-Elizabeth Bogden, OTRL
• Jill Gwendolyn Bonell, OTR/L
• Bormans Inc (Farmer Jack Pharmacy)
• Mechelle Botrous
• Botsford General Hospital
• Botsford General Hospital
• Botsford General Hosptial
• Linda Bouey
• Yvonne Marie Brady, M.ED.
• Gary L Brant, DDS

• Podiatrist in Dearborn Heights, MI
• Providers in Dearborn Heights, MI by specialty
• Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; 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.