Organization Active NPI

Eric J. Foreman, DPM PC

Doing business as Footdocs.com PC

  • Podiatrist
  • Bingham Farms, MI
National Provider Identifier
1912091976
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
ERIC J. FOREMAN, DPM PC
Doing business as
Footdocs.com PC
Practice address
31500 Telegraph Rd
Suite 235
Bingham Farms, MI 48025-4367
Phone
(248) 646-6882
Fax
(248) 646-7677
NPI assigned
Oct 3, 2006
Last updated
Jan 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Authorized official

Name
Sheena Harris
Title
Office Manager
Phone
(248) 646-6882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

31500 Telegraph Rd
Suite 235
Bingham Farms, MI 48025-4367

Mailing address

31500 Telegraph Rd
Suite 235
Bingham Farms, MI 48025-4367
Phone (248) 646-6882

Other identifiers 2

IdentifierTypeStateIssuer
480000122OtherMIRAILROAD MEDICARE
0F32399OtherMIBLUE CROSS/BLUE SHIELD

Other names 2

  • Footdocs.com PC Doing business as
  • Arnold S Gross DPM PC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040629001066 MI Part B Supplier - Clinic/Group Practice 5799761797 Receives reassigned benefits from 2 practitioners
Practice locations: Bingham Farms, MI

National Provider Directory

National Provider Directory

Locations

2300 Haggerty Rd
Ste 1175
West Bloomfield, MI 48323
Phone (248) 624-8338

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610323200000",
    "number": "1912091976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31500 TELEGRAPH RD",
            "address_2": "SUITE 235",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254367",
            "telephone_number": "248-646-6882",
            "fax_number": "248-646-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31500 TELEGRAPH RD",
            "address_2": "SUITE 235",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254367",
            "telephone_number": "248-646-6882",
            "fax_number": "248-646-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC J. FOREMAN, DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "SHEENA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "248-646-6882"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480000122",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "0F32399",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Footdocs.com PC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Footdocs.com PC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Arnold S Gross DPM PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bingham Farms, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.