Individual provider Active NPI

Randy Harvey Bernstein, D.P.M.

  • Podiatrist
  • Livonia, MI
National Provider Identifier
1710069729
Registry record updated Dec 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
5901001223 Issued in MI
Practice address
10986 Middlebelt Rd
Livonia, MI 48150-3058
Phone
(313) 274-7047
Fax
(313) 274-7032
NPI assigned
Oct 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 5901001223 MI Primary

Addresses

Primary practice location

10986 Middlebelt Rd
Livonia, MI 48150-3058

Mailing address

10986 Middlebelt Rd
Livonia, MI 48150-3058
Phone (313) 274-7047

Other identifiers 2

IdentifierTypeStateIssuer
5821447OtherMIBCBS OF MI
9958TYPE13MedicaidMI

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20061208000376 MI Practitioner - Podiatry 6800895418 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nationwide Foot & Ankle Care PC Podiatrist CurrentSince Apr 30, 2003 Accepting new patients
Sore Feet Podiatry PC Podiatrist CurrentSince Aug 1, 2011 Accepting new patients
Foot & Ankle Health Center PC Past Accepting new patients

Locations

13407 Farmington Rd
Ste 102
Livonia, MI 48150
Phone (734) 261-3400

10986 Middlebelt Rd
Livonia, MI 48150
Phone (734) 261-3400

32121 Woodward Ave
Ste 201
Royal Oak, MI 48073
Phone (248) 398-2200

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386720000000",
    "number": "1710069729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10986 MIDDLEBELT RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481503058",
            "telephone_number": "313-274-7047",
            "fax_number": "313-274-7032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10986 MIDDLEBELT RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481503058",
            "telephone_number": "313-274-7047",
            "fax_number": "313-274-7032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNSTEIN",
        "first_name": "RANDY",
        "middle_name": "HARVEY",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2013-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901001223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MI",
            "identifier": "5821447",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9958TYPE13",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.