Active NPI
Gerald Gold DPM PC
Doing business as Brighton Foot Care
- Foot & Ankle Surgery Podiatrist
- Brighton, MI
National Provider Identifier
1790895886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 001648
- 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, 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
- Dr. Gerald Gold, DPM
- Title
- Owner
- Phone
- (810) 227-3662
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3132765 | Medicaid | MI | |
| 127670 | Other | MI | CARE CHOICE |
| 4854713670 | Other | MI | BCBSM |
Other names 1
- BRIGHTON FOOT CARE
National Provider Directory
National Provider DirectoryNPI 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.