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DR. BRUCE MICHAEL JACOB D.P.M. NPI 1710066881


NPI Information

NPI: 1710066881
Provider Name: DR. BRUCE MICHAEL JACOB, D.P.M.
Classification: Podiatrist - 213EP1101X
Entity Type: Individual

Specialization: Primary Podiatric Medicine

PECOS Registration: Yes

Address:
6689 ORCHARD LAKE RD # 302
WEST BLOOMFIELD, MI
ZIP 48322
Phone: (248) 757-0030
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DR. Bruce Michael Jacob, D.P.M. is a primary podiatric medicine podiatrist in West Bloomfield, MI with 6 years of experience. DR. Bruce Michael Jacob, D.P.M. NPI is 1710066881. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6689 ORCHARD LAKE RD # 302
WEST BLOOMFIELD, MI
ZIP 48322-404
Phone: (248) 757-0030
Fax: (248) 757-0025

The NPI 1710066881 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of tissue from 6 or more finger or toe nails (HCPCS:11721)
  • Removal of tissue from wounds per session (HCPCS:97597)

The enumeration date for this NPI number is 11/2/2006 and was last updated on 11/6/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213EP1101XPodiatristPrimary Podiatric Medicine5901000789MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.