Active NPI
Randy Feldman DPM LLC
- Podiatrist
- Milford, MI
National Provider Identifier
1376845529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- RANDY FELDMAN DPM LLC
- Practice address
- 1501 N Milford Rd
Ste. 200
Milford, MI 48381-1006 - Phone
- (248) 676-2080
- NPI assigned
- Nov 20, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian Burkardt, DPM
- Title
- Owner/Physican
- Phone
- (248) 676-2080
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | Primary | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Prosthetic/Orthotic Supplier | 335E00000X |
Addresses
Primary practice location
1501 N Milford Rd
Ste. 200
Milford, MI 48381-1006
Mailing address
1501 N Milford Rd
Ste. 200
Milford, MI 48381-1006
Phone (248) 676-2080
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0P15390 | Other | MI | MEDICARE PLUS BLUE |
| 6242670002 | Other | MEDICARE DMEPOS | |
| 480F337000 | Other | MI | BLUE CARE NETWORK |
| 492996413 | Medicaid | MI | |
| 480F394260 | Other | BLUE CROSS BLUE SHIELD | |
| 0P15390 | Other | MI | MEDICARE |
National Provider Directory
National Provider DirectoryLocations
4123 Martin Rd
Ste 101
Commerce Township, MI 48390
Phone (248) 363-3777
1501 N Milford Rd
Ste 200
Milford, MI 48381
Phone (248) 676-2080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290211200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1300233600000",
"number": "1376845529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 N MILFORD RD",
"address_2": "STE. 200",
"city": "MILFORD",
"state": "MI",
"postal_code": "483811006",
"telephone_number": "248-676-2080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 N MILFORD RD",
"address_2": "STE. 200",
"city": "MILFORD",
"state": "MI",
"postal_code": "483811006",
"telephone_number": "248-676-2080"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RANDY FELDMAN DPM LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-20",
"last_updated": "2011-03-16",
"status": "A",
"authorized_official_last_name": "BURKARDT",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "OWNER/PHYSICAN",
"authorized_official_telephone_number": "248-676-2080",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PLUS BLUE",
"identifier": "0P15390",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE DMEPOS",
"identifier": "6242670002",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE NETWORK",
"identifier": "480F337000",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "492996413",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "480F394260",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "0P15390",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.