Healthcare Provider Details

I. General information

NPI: 1306942842
Provider Name (Legal Business Name): BC PODIATRY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2006
Last Update Date: 11/24/2025
Certification Date: 11/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30775 STEPHENSON HWY
MADISON HEIGHTS MI
48071-1618
US

IV. Provider business mailing address

30775 STEPHENSON HWY
MADISON HEIGHTS MI
48071-1618
US

V. Phone/Fax

Practice location:
  • Phone: 248-585-1177
  • Fax: 248-585-0083
Mailing address:
  • Phone: 248-585-1177
  • Fax: 248-585-0083

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: BRIAN BURKARDT DPM
Title or Position: OWNER
Credential: DPM
Phone: 734-308-2973