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Contact Information

BC PODIATRY PLLC
13650 TEN MILE RD
SOUTH LYON, MI48178-9143
 Phone: 248-486-1177
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for BC PODIATRY PLLC

NPI # 1902108152
LBN Legal business name BC PODIATRY PLLC
Authorized official BRIAN DPM - (OWNER/PHYSICAN)
Entity Organization
Organization subpart 1 No
Enumeration date 11/20/2010
Last updated 05/22/2023 - About 3 years ago
Identifiers
MI License # 5901001043
MI License # 5901002128
MI Medicaid 492996413
Other 480F394250 BLUE CROSS
MI Other 480F337000 BLUE CARE NETWORK
MI Other 480F337000 BLUE CROSS BLUE SHIELD
MI Other 0P15390 MEDICARE
MI Other 0P15390 MEDICARE PLUS BLUE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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