Organization Active NPI

Gerald Gold DPM PC

Doing business as Brighton Foot Care

  • Foot & Ankle Surgery Podiatrist
  • Brighton, MI
National Provider Identifier
1790895886
Registry record updated Feb 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
001648 Issued in MI
Legal business name
GERALD GOLD DPM PC
Doing business as
Brighton Foot Care
Practice address
455 E Grand River
Suite 202
Brighton, MI 48116
Phone
(810) 227-3662
Fax
(810) 227-3683
NPI assigned
Aug 30, 2006
Last updated
Feb 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2013

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

Authorized official

Name
Dr. Gerald Gold, DPM
Title
Owner
Phone
(810) 227-3662

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 001648 MI Primary

Addresses

Primary practice location

455 E Grand River
Suite 202
Brighton, MI 48116

Mailing address

455 E Grand River
Suite 202
Brighton, MI 48116
Phone (810) 227-3662

Other identifiers 3

IdentifierTypeStateIssuer
3132765MedicaidMI
127670OtherMICARE CHOICE
4854713670OtherMIBCBSM

Other names 1

  • BRIGHTON FOOT CARE Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359676800000",
    "number": "1790895886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 E GRAND RIVER",
            "address_2": "SUITE 202",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "48116",
            "telephone_number": "810-227-3662",
            "fax_number": "810-227-3683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 E GRAND RIVER",
            "address_2": "SUITE 202",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "48116",
            "telephone_number": "810-227-3662",
            "fax_number": "810-227-3683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD GOLD DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2013-02-01",
        "status": "A",
        "authorized_official_last_name": "GOLD",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-227-3662",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "001648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3132765",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE CHOICE",
            "identifier": "127670",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "4854713670",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRIGHTON FOOT CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brighton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.

Verify at the official NPI Registry.