Active NPI
Bazzi Foot & Ankle D.P.M P.C
- Foot & Ankle Surgery Podiatrist
- Dearborn, MI
National Provider Identifier
1720424484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 5901002374
- Legal business name
- BAZZI FOOT & ANKLE D.P.M P.C
- Practice address
- 7548 Williamson St
Dearborn, MI 48126-1495 - Phone
- (313) 772-0805
- NPI assigned
- May 21, 2013
- 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
- Mohammed Bazzi, M.D
- Title
- Owner
- Phone
- (313) 772-0805
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 5901002374 | MI | Primary |
Addresses
Primary practice location
7548 Williamson St
Dearborn, MI 48126-1495
Mailing address
7548 Williamson St
Dearborn, MI 48126-1495
Phone (313) 772-0805
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369094400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1369094400000",
"number": "1720424484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7548 WILLIAMSON ST",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481261495",
"telephone_number": "313-772-0805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7548 WILLIAMSON ST",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481261495",
"telephone_number": "313-772-0805"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAZZI FOOT & ANKLE D.P.M P.C",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-21",
"last_updated": "2013-05-21",
"status": "A",
"authorized_official_last_name": "BAZZI",
"authorized_official_first_name": "MOHAMMED",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "313-772-0805",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "MI",
"license": "5901002374",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.