MEDICARE: BC PODIATRY PLLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	213E00000X	Podiatrist	MI
3	335E00000X	Prosthetic/Orthotic Supplier
4	213ES0103X	Foot & Ankle Surgery Podiatrist	MI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	MI1200	OTHER	MI	MEDICARE PTAN
5	0P41010	OTHER	MI	MEDICARE
6	0P41010	OTHER	MI	MEDICARE PLUS BLUE
7	0P41010	OTHER	MI	MEDICARE ADVANTAGE
8	4480020001	OTHER	MI	MEDICARE DMERC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	480F337000	OTHER	MI	BLUE CROSS BLUE SHIELD
2	480F337000	OTHER	MI	BLUE CROSS FEP
4	CN3339	OTHER	MI	RAILROAD
9	480F337000	OTHER	MI	BLUE CARE NETWORK

General Provider Information

NPI Number	:	1306942842
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BC PODIATRY PLLC

Provider Business Mailing Address
First Line	:	30775 STEPHENSON HWY
Second Line	:
City	:	MADISON HEIGHTS
State	:	MI
Zip	:	48071-1618
Country	:	US
Telephone Number	:	248-585-1177
Fax Number	:	248-585-0083

Provider Business Practice Location Address
First Line	:	30775 STEPHENSON HWY
Second Line	:
City	:	MADISON HEIGHTS
State	:	MI
Zip	:	48071-1618
Country	:	US
Telephone Number	:	248-585-1177
Fax Number	:	248-585-0083

Authorized Official
Title or Position	:	OWNER
Name	:	BRIAN BURKARDT DPM
Credential	:	DPM
Telephone Number	:	734-308-2973

Provider Enumeration Date	:	09/15/2006
Last Update Date	:	11/24/2025

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Directions to “BC PODIATRY PLLC ” Practice Location

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