Individual provider Active NPI

Luccia Holmes-Bernstein, D.P.M.

  • Foot Surgery Podiatrist
  • Waterford, MI
National Provider Identifier
1972732055
Registry record updated Sep 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
5901002334 Issued in MI
Practice address
7116 Highland Rd
Waterford, MI 48327-1503
Phone
(248) 666-8807
Fax
(248) 666-7709
NPI assigned
Jul 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 5901002334 MI Primary
Podiatrist 213E00000X 5901002334 MI

Addresses

Primary practice location

7116 Highland Rd
Waterford, MI 48327-1503

Mailing address

7116 Highland Rd
Waterford, MI 48327-1503
Phone (248) 666-8807

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5901002334MIMDFoot Surgery Podiatrist

NPI Registry JSON

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348531200000",
    "number": "1972732055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7116 HIGHLAND RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271503",
            "telephone_number": "248-666-8807",
            "fax_number": "248-666-7709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7116 HIGHLAND RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271503",
            "telephone_number": "248-666-8807",
            "fax_number": "248-666-7709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES-BERNSTEIN",
        "first_name": "LUCCIA",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-09",
        "last_updated": "2012-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MI",
            "license": "5901002334",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901002334",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; 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.