DR. BRUCE IAN KACZANDER DPM NPI 1518963628

NPI Information

  • NPI: 1518963628
  • Provider Name: DR. BRUCE IAN KACZANDER, DPM
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Individual
  • Address: 24725 W 12 MILE RD
    STE 270
    SOUTHFIELD, MI
    ZIP 48034
  • Phone: (248) 353-9300

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NPI Details

DR. Bruce Ian Kaczander, DPM is a foot and ankle surgery podiatrist in Southfield, MI. DR. Bruce Ian Kaczander, DPM NPI is 1518963628. 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:

24725 W 12 MILE RD
STE 270
SOUTHFIELD, MI
ZIP 48034-310
Phone: (248) 353-9300
Fax: (248) 353-9303

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.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Permanent removal fingernail or toenail (HCPCS:11750)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)

The enumeration date for this NPI number is 6/23/2005 and was last updated on 8/8/2012.

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
1213ES0103XPodiatristFoot & Ankle SurgeryBK001054MICHIGANYes

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
1104550400OTHERMICHIGANUS DEP
2480029296OTHERMICHIGANTRICARE
3T34322OTHERMICHIGANHEALTH ALLIANCE PLAN
44263940001MEDICARE NSCMICHIGAN
5000000002793OTHERMICHIGANCAPE
6503536OTHERMICHIGANPREFERRED CHOICES
7U84806MEDICARE UPINMICHIGAN
8503536OTHERMICHIGANCARE CHOICE
9101509OTHERMICHIGANGREAT LAKES
104188228MEDICAIDMICHIGAN
110M94620002MEDICARE PINMICHIGAN
12C6928OTHERMICHIGANMCARE
1383291OTHERMICHIGANOMNI

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: 3/30/2025

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