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General NPI Number Information
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NPI Number | 1306942842
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Entity Type | Organization
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Legal Business Name | BC PODIATRY PLLC
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 30775 STEPHENSON HWY
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City | MADISON HEIGHTS
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State | MI
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Zip | 48071-1618
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Country | US
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Telephone | 248-585-1177
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Fax | 248-585-0083
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Provider Business Mailing Address
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Address Line | 30775 STEPHENSON HWY
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City | MADISON HEIGHTS
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State | MI
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Zip | 48071-1618
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Country | US
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Telephone | 248-585-1177
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Fax | 248-585-0083
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Authorized Official
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Title or Position | OWNER
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Name | BRIAN BURKARDT DPM
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Credential | DPM
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Telephone | 734-308-2973
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State | MI
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