BRIAN G. LODER DPM PLC NPI 1508004920

NPI Information

NPI: 1508004920
Provider Name: BRIAN G. LODER DPM PLC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
43391 COMMONS DR
CLINTON TWP, MI
ZIP 48038
Phone: (586) 329-3895
Get Directions

BRIAN G. LODER DPM PLC is a foot and ankle surgery podiatrist in Clinton Twp, MI. BRIAN G. LODER DPM PLC NPI is 1508004920. The provider is registered as an organization entity type.

The provider's business location address is:

43391 COMMONS DR
CLINTON TWP, MI
ZIP 48038-109
Phone: (586) 329-3895
Fax: (586) 329-3916

The provider's authorized official is Brian George Loder .
The authorized official title is Owner and has the following contact phone number (586) 329-3895.

The enumeration date for this NPI number is 1/22/2009 and was last updated on 11/2/2022.

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	332B00000X	Durable Medical Equipment & Medical Supplies			MICHIGAN	No
2	213ES0103X	Podiatrist	Foot & Ankle Surgery	5901001662	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	480E027990	OTHER	MICHIGAN	BCBS GROUP
2	DP6530	OTHER	MICHIGAN	RAILROAD MEDICARE
3	U53759	OTHER	MICHIGAN	HAP
4	480E027990	OTHER	MICHIGAN	BCN GROUP
5	1508004920	MEDICAID	MICHIGAN

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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