Organization Active NPI

Randy Feldman DPM LLC

  • Podiatrist
  • Milford, MI
National Provider Identifier
1376845529
Registry record updated Mar 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
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

Updated by the provider on Mar 16, 2011

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)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0P15390OtherMIMEDICARE PLUS BLUE
6242670002OtherMEDICARE DMEPOS
480F337000OtherMIBLUE CARE NETWORK
492996413MedicaidMI
480F394260OtherBLUE CROSS BLUE SHIELD
0P15390OtherMIMEDICARE

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.