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Contact Information

BC PODIATRY PLLC
30775 STEPHENSON HWY
MADISON HEIGHTS, MI48071-1618
 Phone: 248-585-1177
 Fax: 248-585-0083
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Podiatrist

213E00000X 48 Podiatry
 

Prosthetic/Orthotic Supplier

335E00000X 51 Medical Supply Company with Orthotist
Indicates primary specialty

NPI Profile & details for BC PODIATRY PLLC · (Female)

NPI Number 1306942842
Status Active
Credentials
Entity Individual
Enumeration date 09/15/2006
Last updated 11/24/2025 - About 6 months ago
Sole proprietor 1 Not specified
Identifiers
  • MI Other 480F337000 BLUE CARE NETWORK
  • MI Other 480F337000 BLUE CROSS BLUE SHIELD
  • MI Other 480F337000 BLUE CROSS FEP
  • MI Other 0P41010 MEDICARE
  • MI Other 0P41010 MEDICARE ADVANTAGE
  • MI Other 4480020001 MEDICARE DMERC
  • MI Other 0P41010 MEDICARE PLUS BLUE
  • MI Other MI1200 MEDICARE PTAN
  • MI Other CN3339 RAILROAD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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