Bobby D Sage, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

5901000802 Issued in MI

Practice address

104 S Franklin St
Frankenmuth, MI 48734-1526

Phone

(989) 652-2444

Fax

(989) 652-6066

NPI assigned

Mar 7, 2007

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Family Foot & Ankle Care PLLC

  • Foot & Ankle Surgery Podiatrist
  • Frankenmuth, MI
  • NPI 1255639951
  NPD (past)

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209081600000",
    "number": "1457482184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 S FRANKLIN ST",
            "city": "FRANKENMUTH",
            "state": "MI",
            "postal_code": "487341526",
            "telephone_number": "989-652-2444",
            "fax_number": "989-652-6066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S FRANKLIN ST",
            "city": "FRANKENMUTH",
            "state": "MI",
            "postal_code": "487341526",
            "telephone_number": "989-652-2444",
            "fax_number": "989-652-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGE",
        "first_name": "BOBBY",
        "middle_name": "D",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2008-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901000802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4857311200",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS",
            "identifier": "4B825564",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK OF MI",
            "identifier": "4857311200",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Ann Richardson, PTA
• Cassandra L Roberts, LICENSED MASSAGE THE
• Christopher Michael Rousch, PHARMD
• Stacey Lynn Ruddy
• Stephanie Marie Rummel, OTR
• Tyler Samuels
• Mark Sanders
• Reis Savoy, DC
• Scott E. Beasecker
• Michele L Scott, RPH

• Foot & Ankle Surgery Podiatrist in Frankenmuth, MI
• Providers in Frankenmuth, 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 Apr 25, 2008; 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.