Active NPI
HKB Corporation
- Foot & Ankle Surgery Podiatrist
- Fort Gratiot, MI
National Provider Identifier
1801955331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 5901000901
- Legal business name
- HKB CORPORATION
- Practice address
- 4190 24TH Ave
Suite 104
Fort Gratiot, MI 48059-3882 - Phone
- (810) 989-7711
- Fax
- (810) 987-7111
- NPI assigned
- Dec 8, 2006
- 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. Steven Bremer, D.P.M.
- Title
- President
- Phone
- (810) 989-7711
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 5901000901 | MI | Primary |
Addresses
Primary practice location
4190 24TH Ave
Suite 104
Fort Gratiot, MI 48059-3882
Mailing address
4190 24TH Ave
Suite 104
Fort Gratiot, MI 48059-3882
Phone (810) 989-7711
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5745003 | Other | MI | BCBS |
National Provider Directory
National Provider DirectoryLocations
4190 24th Ave
Ste 104
Fort Gratiot, MI 48059
Phone (313) 329-9646
2732 Cherry St
Port Huron, MI 48060
Phone (810) 985-5631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210550400000",
"number": "1801955331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4190 24TH AVE",
"address_2": "SUITE 104",
"city": "FORT GRATIOT",
"state": "MI",
"postal_code": "480593882",
"telephone_number": "810-989-7711",
"fax_number": "810-987-7111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4190 24TH AVE",
"address_2": "SUITE 104",
"city": "FORT GRATIOT",
"state": "MI",
"postal_code": "480593882",
"telephone_number": "810-989-7711",
"fax_number": "810-987-7111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HKB CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-08",
"last_updated": "2008-05-12",
"status": "A",
"authorized_official_last_name": "BREMER",
"authorized_official_first_name": "STEVEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "810-989-7711",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "MI",
"license": "5901000901",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "5745003",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Gratiot, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.