DR. MICHAEL PATRICK BURK D.P.M. NPI 1053348359

NPI Information

NPI: 1053348359
Provider Name: DR. MICHAEL PATRICK BURK, D.P.M.
Classification: Podiatrist - 213E00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
39555 W 10 MILE RD
SUITE 307
NOVI, MI
ZIP 48375
Phone: (248) 476-1500
Get Directions

DR. Michael Patrick Burk, D.P.M. is a podiatrist in Novi, MI with 43 years of experience. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. DR. Michael Patrick Burk, D.P.M. NPI is 1053348359. 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:

39555 W 10 MILE RD
SUITE 307
NOVI, MI
ZIP 48375-950
Phone: (248) 476-1500
Fax: (248) 476-0502

The NPI 1053348359 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 enumeration date for this NPI number is 6/26/2006 and was last updated on 4/28/2008.

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
1	213E00000X	Podiatrist		5901001081	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5943716	OTHER	MICHIGAN	AETNA PPO
2	0N10170001	MEDICARE PIN
3	480034200	OTHER	MICHIGAN	RAILROAD MEDICARE
4	T34048	MEDICARE UPIN	MICHIGAN
5	4237912	MEDICAID	MICHIGAN
6	0N10170	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN
7	48-5-63-5173-0	OTHER	MICHIGAN	BLUE CROSS PROVIDER NUMBE

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: 4/28/2024

NPI Synchronization or Removal

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