Brian Eric Homer, D.P.M

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

5901BH001699 Issued in MI

Practice address

615 W 14 Mile Rd
Clawson, MI 48017-1901

Phone

(248) 288-8900

Fax

(248) 288-8989

NPI assigned

Dec 22, 2005

Last updated

Feb 1, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Harvard Medical School, 1993

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bhomer@direct.dmc.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Allen Park Footcare Specialist PLLC

  • Podiatric Clinic/Center
  • Allen Park, MI
  • NPI 1790883056

  Foot & Ankle Surgery

  Medicare reassignment NPD Authorized official
• Clawson Footcare Specialists PC

  • Podiatric Clinic/Center
  • Clawson, MI
  • NPI 1215029418

  Foot & Ankle Surgery

  Medicare reassignment NPD Authorized official
• Scott M Homer DPM PC

  • Podiatrist
  • Saint Clair Shores, MI
  • NPI 1225496417

  Foot & Ankle Surgery

  NPD (past)

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264982400000",
    "number": "1326024183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 W 14 MILE RD",
            "city": "CLAWSON",
            "state": "MI",
            "postal_code": "480171901",
            "telephone_number": "248-288-8900",
            "fax_number": "248-288-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 W 14 MILE RD",
            "city": "CLAWSON",
            "state": "MI",
            "postal_code": "480171901",
            "telephone_number": "248-288-8900",
            "fax_number": "248-288-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOMER",
        "first_name": "BRIAN",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2010-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901BH001699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS DME CLAWSON",
            "identifier": "0F383890",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLAWSON DME NUMBER",
            "identifier": "1283450001",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS -CLAWSON",
            "identifier": "480F318080",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD ALLEN PARK",
            "identifier": "P00102057",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS DME ALLEN PART",
            "identifier": "0H20650",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD CLAWSON",
            "identifier": "480018640",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLEN PARK DME",
            "identifier": "4319060001",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLEN PARK BLUE CROSS",
            "identifier": "48OH2128370",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Healthy Smiles
• Mary H Healy
• Heritage Dental, PLC
• Jacqueline Heron
• Scott Hodas, D.D.S.
• Amdadul Hoque
• Sharon Kennedy Hosea, D.D.S.
• House of Optical, Inc.
• Howard L. Graef, D.D.S., P.C.
• James H Hunter, D.D.S.

• Foot & Ankle Surgery Podiatrist in Clawson, MI
• Providers in Clawson, MI by specialty
• Foot & Ankle Surgery Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.