Individual provider Active NPI

Brian L Kerman, DPM

  • Podiatrist
  • Madison Heights, MI
National Provider Identifier
1730295130
Registry record updated May 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
BK000547 Issued in MI
Practice address
27031 Dequindre Rd
Madison Heights, MI 48071-3401
Phone
(248) 545-4888
Fax
(248) 545-4327
NPI assigned
Aug 21, 2006
Last updated
May 12, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X BK000547 MI Primary

Addresses

Primary practice location

27031 Dequindre Rd
Madison Heights, MI 48071-3401

Mailing address

27031 Dequindre Rd
Madison Heights, MI 48071-3401
Phone (248) 545-4888

Other identifiers 1

IdentifierTypeStateIssuer
1008068MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BK000547MIMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bazzi Podiatry CurrentSince Jan 3, 2024 Accepting new patients

Locations

7633 E Jefferson Ave
Ste 250
Detroit, MI 48214
Phone (313) 581-2121

27031 Dequindre Rd
Ste A
Madison Heights, MI 48071
Phone (248) 545-4888

2007 E 14 Mile Rd
Sterling Heights, MI 48310
Phone (313) 740-1111

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210550400000",
    "number": "1730295130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27031 DEQUINDRE RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480713401",
            "telephone_number": "248-545-4888",
            "fax_number": "248-545-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27031 DEQUINDRE RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480713401",
            "telephone_number": "248-545-4888",
            "fax_number": "248-545-4327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERMAN",
        "first_name": "BRIAN",
        "middle_name": "L",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2008-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "BK000547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008068",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison Heights, MI

Sources for this page

Verify at the official NPI Registry.