Organization Active NPI

Nationwide Foot & Ankle Care PC

  • Podiatrist
  • Livonia, MI
National Provider Identifier
1932279437
Registry record updated Jul 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
5901001223 Issued in MI
Legal business name
NATIONWIDE FOOT & ANKLE CARE PC
Practice address
10986 Middlebelt Rd
Livonia, MI 48150-3058
Phone
(734) 261-3400
Fax
(734) 261-3411
NPI assigned
Nov 9, 2006
Last updated
Jul 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2013

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

Authorized official

Name
Dr. Randy Bernstein, D.P.M.NPI 1710069729
Title
Owner-President
Phone
(734) 261-3400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 5901001223 MI Primary

Addresses

Primary practice location

10986 Middlebelt Rd
Livonia, MI 48150-3058

Mailing address

10986 Middlebelt Rd
Livonia, MI 48150-3058
Phone (734) 261-3400

Other identifiers 1

IdentifierTypeStateIssuer
493538013MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061208000382 MI Part B Supplier - Clinic/Group Practice 0446259055 Receives reassigned benefits from 6 practitioners
Practice locations: Livonia, MI

National Provider Directory

National Provider Directory

Locations

10986 Middlebelt Rd
Livonia, MI 48150
Phone (734) 261-3400

13407 Farmington Rd
Ste 102
Livonia, MI 48150
Phone (734) 261-3400

Practitioners & affiliated clinicians

Practitioners 7

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": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373328000000",
    "number": "1932279437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10986 MIDDLEBELT RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481503058",
            "telephone_number": "734-261-3400",
            "fax_number": "734-261-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10986 MIDDLEBELT RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481503058",
            "telephone_number": "734-261-3400",
            "fax_number": "734-261-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONWIDE FOOT & ANKLE CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2013-07-09",
        "status": "A",
        "authorized_official_last_name": "BERNSTEIN",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "OWNER-PRESIDENT",
        "authorized_official_telephone_number": "734-261-3400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901001223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "493538013",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; 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.