NPI 1649265232 · live from the CMS NPI Registry
James D Black, DPM
Podiatrist in Rochester Hills, MI. National Provider Identifier 1649265232, active.
NPI record
| NPI | 1649265232 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 101 Rochdale Dr S, Suite C, Rochester Hills, MI 48309 |
| Practice phone | 248-652-3400 |
| Enumerated | September 20, 2005 |
| Last updated | May 24, 2012 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist primary | 213E00000X | JB001105 (MI) |
| Durable Medical Equipment & Medical Supplies | 332B00000X | JB001105 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.