MEDICARE: B C SHOES INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1013096437
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	B C SHOES INC.

Provider Business Mailing Address
First Line	:	128 CENTRAL AVE N
Second Line	:
City	:	FARIBAULT
State	:	MN
Zip	:	55021-5298
Country	:	US
Telephone Number	:	507-334-7774
Fax Number	:	507-334-9256

Provider Business Practice Location Address
First Line	:	128 CENTRAL AVE N
Second Line	:
City	:	FARIBAULT
State	:	MN
Zip	:	55021-5298
Country	:	US
Telephone Number	:	507-334-7774
Fax Number	:	507-334-9256

Authorized Official
Title or Position	:	PEDORTHIST/OWNER
Name	:	MR. BRIAN DONALD BURKHARTZMEYER
Credential	:	O.S.T., C. PED.
Telephone Number	:	507-334-7774

Provider Enumeration Date	:	11/05/2006
Last Update Date	:	03/10/2026

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Directions to “B C SHOES INC. ” Practice Location

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