Organization Active NPI

BC Podiatry PLLC

  • Podiatrist
  • South Lyon, MI
National Provider Identifier
1902108152
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
BC PODIATRY PLLC
Practice address
13650 Ten Mile Rd
South Lyon, MI 48178-9143
Phone
(248) 486-1177
NPI assigned
Nov 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Authorized official

Name
Brian Burkardt DPM
Title
Owner/Physican
Phone
(734) 308-2973

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary
Durable Medical Equipment & Medical Supplies 332B00000X 5901001043 MI
Durable Medical Equipment & Medical Supplies 332B00000X 5901002128 MI

Addresses

Primary practice location

13650 Ten Mile Rd
South Lyon, MI 48178-9143

Mailing address

13650 Ten Mile Rd
South Lyon, MI 48178-9143
Phone (248) 486-1177

Other identifiers 6

IdentifierTypeStateIssuer
480F337000OtherMIBLUE CARE NETWORK
480F394250OtherBLUE CROSS
480F337000OtherMIBLUE CROSS BLUE SHIELD
0P15390OtherMIMEDICARE
0P15390OtherMIMEDICARE PLUS BLUE
492996413MedicaidMI

Other names 1

  • Gentle Foot & Ankle Care LLC Doing business as

National Provider Directory

National Provider Directory

Locations

13650 10 Mile Rd
South Lyon, MI 48178
Phone (248) 486-1177

NPI Registry JSON

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

{
    "created_epoch": "1290211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684713600000",
    "number": "1902108152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13650 TEN MILE RD",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481789143",
            "telephone_number": "248-486-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13650 TEN MILE RD",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481789143",
            "telephone_number": "248-486-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BC PODIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-20",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A",
        "authorized_official_last_name": "DPM",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "BURKARDT",
        "authorized_official_title_or_position": "OWNER/PHYSICAN",
        "authorized_official_telephone_number": "734-308-2973"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "5901001043",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "5901002128",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "480F337000",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "480F394250",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "480F337000",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "0P15390",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PLUS BLUE",
            "identifier": "0P15390",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "492996413",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gentle Foot & Ankle Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Lyon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.