NPIMap

Organization Active NPI

BC Podiatry PLLC

  • Podiatrist
  • Troy, MI
National Provider Identifier
1720380975
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
BC PODIATRY PLLC
Practice address
89 W South Blvd
Ste. 500
Troy, MI 48085-1611
Phone
(248) 509-7086
Fax
(248) 289-1853
NPI assigned
Nov 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

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
(734) 308-2973

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

89 W South Blvd
Ste. 500
Troy, MI 48085-1611

Mailing address

4123 Martin Rd
Ste 101
Commerce Township, MI 48390-4151
Phone (248) 363-3777

Other identifiers 5

IdentifierTypeStateIssuer
6242670004OtherMEDICARE DMEPOS
480F337000OtherMIBLUE CARE NETWORK
480F394240OtherBLUE CROSS BLUE SHIELD
0P41010OtherMIMEDICARE
480F337000OtherMIBLUE CROSS BLUE SHIELD

Other names 1

  • Gentle Foot & Ankle Care LLC Doing business as

National Provider Directory

National Provider Directory

Locations

89 W South Blvd
Ste 500
Troy, MI 48085
Phone (248) 509-7086

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

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": "1684713600000",
    "number": "1720380975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4123 MARTIN RD",
            "address_2": "STE 101",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483904151",
            "telephone_number": "248-363-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 W SOUTH BLVD",
            "address_2": "STE. 500",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480851611",
            "telephone_number": "248-509-7086",
            "fax_number": "248-289-1853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BC PODIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-20",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A",
        "authorized_official_last_name": "DPM",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "BURKARDT",
        "authorized_official_title_or_position": "OWNER/PHYSICAN",
        "authorized_official_telephone_number": "734-308-2973"
    },
    "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 DMEPOS",
            "identifier": "6242670004",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "480F337000",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "480F394240",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "0P41010",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "480F337000",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gentle Foot & Ankle Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.