Organization Active NPI

Randy S Feldman, DPM

  • Durable Medical Equipment & Medical Supplies
  • Madison Heights, MI
National Provider Identifier
1316199276
Registry record updated Oct 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
5901001043 Issued in MI
Legal business name
RANDY S FELDMAN, DPM
Practice address
31017 John R Rd
Madison Heights, MI 48071-1907
Phone
(248) 585-1177
Fax
(248) 585-0083
NPI assigned
Oct 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2009

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

Authorized official

Name
Kristi Mari' Murray, M.A.
Title
Assistant
Phone
(248) 585-1177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 5901001043 MI Primary

Addresses

Primary practice location

31017 John R Rd
Madison Heights, MI 48071-1907

Mailing address

31017 John R Rd
Madison Heights, MI 48071-1907
Phone (248) 585-1177

Other identifiers 1

IdentifierTypeStateIssuer
540F337060OtherMIBCBSM DMERC

National Provider Directory

National Provider Directory

Locations

31017 John R Rd
Madison Hts, MI 48071
Phone (248) 585-1177

NPI Registry JSON

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256688000000",
    "number": "1316199276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31017 JOHN R RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480711907",
            "telephone_number": "248-585-1177",
            "fax_number": "248-585-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31017 JOHN R RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480711907",
            "telephone_number": "248-585-1177",
            "fax_number": "248-585-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDY S FELDMAN, DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-22",
        "last_updated": "2009-10-28",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_middle_name": "MARI'",
        "authorized_official_title_or_position": "ASSISTANT",
        "authorized_official_telephone_number": "248-585-1177",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "5901001043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM DMERC",
            "identifier": "540F337060",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2009; 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.