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Organization
BC PODIATRY PLLC
Active
Organization
BC PODIATRY PLLC
Active
Other names
Gentle Foot & Ankle Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN BURKARDT DPM (OWNER/PHYSICAN)
(734) 308-2973
Entity
Organization
Contact information
Practice address
13650 TEN MILE RD, SOUTH LYON, MI 48178-9143
(248) 486-1177
Mailing address
13650 TEN MILE RD, SOUTH LYON, MI 48178-9143
(248) 486-1177
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
5901001043
MI
332B00000X
Durable Medical Equipment & Medical Supplies
5901002128
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0P15390
MEDICARE
MI
01
—
480F337000
BLUE CARE NETWORK
MI
01
—
480F394250
BLUE CROSS
—
05
—
492996413
—
MI
Enumeration date
11/20/2010
Last updated
05/22/2023
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