Organization Active NPI

HKB Corporation

  • Foot & Ankle Surgery Podiatrist
  • Fort Gratiot, MI
National Provider Identifier
1801955331
Registry record updated May 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901000901 Issued in MI
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

Updated by the provider on May 12, 2008

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)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
5745003OtherMIBCBS

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.