Active NPI
BC Podiatry PLLC
- Podiatrist
- South Lyon, MI
National Provider Identifier
1902108152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 480F337000 | Other | MI | BLUE CARE NETWORK |
| 480F394250 | Other | BLUE CROSS | |
| 480F337000 | Other | MI | BLUE CROSS BLUE SHIELD |
| 0P15390 | Other | MI | MEDICARE |
| 0P15390 | Other | MI | MEDICARE PLUS BLUE |
| 492996413 | Medicaid | MI |
Other names 1
- Gentle Foot & Ankle Care LLC
National Provider Directory
National Provider DirectoryLocations
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.