BRUCE C LEITKAM DO PC NPI 1417268764

NPI Information

  • NPI: 1417268764
  • Provider Name: BRUCE C LEITKAM DO PC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 490 W BROAD ST
    LINDEN, MI
    ZIP 48451
  • Phone: (810) 735-1231

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NPI Details

BRUCE C LEITKAM DO PC is a general practice in Linden, MI. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee BRUCE C LEITKAM DO PC NPI is 1417268764. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

490 W BROAD ST
LINDEN, MI
ZIP 48451-862
Phone: (810) 735-1231
Fax: (810) 735-1092

The provider's authorized official is Bruce Calvin Leitkam .
The authorized official title is Owne and has the following contact phone number (810) 735-1231.

The enumeration date for this NPI number is 7/1/2010 and was last updated on 7/1/2010.

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
1208D00000XGeneral PracticeBL006591MICHIGANYes

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
11552457MEDICAIDMICHIGAN
2E25562MEDICARE UPINMICHIGAN
35253934MEDICARE PINMICHIGAN
45251061OTHERMICHIGANBCBS

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: 11/21/2025

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