BC Podiatry PLLC
Organization Active NPI Foot & Ankle Surgery Podiatrist · Madison Heights, MI
NPI 1306942842 · NPPES record last updated Nov 24, 2025
Key facts
- NPI
- 1306942842
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- Legal business name
- BC PODIATRY PLLC
- Practice address
- 30775 Stephenson Hwy
Madison Heights, MI 48071-1618 - Phone
- (248) 585-1177
- Fax
- (248) 585-0083
- NPI assigned
- Sep 15, 2006
- Organization subpart
- No
Authorized official
- Name
- Brian Burkardt DPM, DPM
- Title
- Owner
- Phone
- (734) 308-2973
Practitioners 10
-
Brenda M Carnaghi, DPM
-
Rafi Jarjous, DPM
-
Alaa Naim Mansour, D.P.M
-
Randy S Feldman, DPM
-
Philip Watkins, DPM
-
Dominic Edward Dipierro, D.P.M.
-
Richard Lee Grant, DPM
-
Jill Catherine Kang, DPM
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070307000194 | MI | Part B Supplier - Clinic/Group Practice | 5496858722 |
Receives reassigned benefits from 5 practitioners Practice locations: Commerce Township, MI; Madison Heights, MI; South Lyon, MI; Troy, MI |
| O20110207000076 | MI | DME Supplier - Physician - Podiatry | 5496858722 | Practice locations: Madison Heights, MI |
National Provider Directory
Locations
30775 Stephenson Hwy
Madison Hts, MI 48071
Phone (248) 733-9904
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist |
213E00000X | MI | ||
| Foot & Ankle Surgery Podiatrist |
213ES0103X | MI | Yes | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Prosthetic/Orthotic Supplier | 335E00000X |
Addresses
Primary practice location
30775 Stephenson Hwy
Madison Heights, MI 48071-1618
Mailing address
30775 Stephenson Hwy
Madison Heights, MI 48071-1618
Phone (248) 585-1177
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 480F337000 | Other | MI | BLUE CROSS BLUE SHIELD |
| 480F337000 | Other | MI | BLUE CROSS FEP |
| MI1200 | Other | MI | MEDICARE PTAN |
| CN3339 | Other | MI | RAILROAD |
| 0P41010 | Other | MI | MEDICARE |
| 0P41010 | Other | MI | MEDICARE PLUS BLUE |
| 0P41010 | Other | MI | MEDICARE ADVANTAGE |
| 4480020001 | Other | MI | MEDICARE DMERC |
| 480F337000 | Other | MI | BLUE CARE NETWORK |
Other names
- Gentle Foot & Ankle Care LLC
Other providers in Madison Heights, MI
- Keia Monae Barlow
- Brian Thomas Barnett
- Christa D Bartley
- Poorna Barua
- Samantha Baumann
- Marc Harris Beals
- Beaumont Hospitals
- Charlotte Becker
- Behavioral Care Management
- Susan L Belaney
All providers in Madison Heights, MI · Foot & Ankle Surgery Podiatrist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.