NPI 1902108152 · live from the CMS NPI Registry
Bc Podiatry PLLC
Podiatrist in South Lyon, MI. National Provider Identifier 1902108152, active.
NPI record
| NPI | 1902108152 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 13650 Ten Mile Rd, South Lyon, MI 48178 |
| Practice phone | 248-486-1177 |
| Enumerated | November 20, 2010 |
| Last updated | May 22, 2023 |
| Authorized official | Brian Dpm, Owner/Physican |
| Other names | Gentle Foot & Ankle Care LLC |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 5901001043 (MI) |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 5901002128 (MI) |
| Podiatrist primary | 213E00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.