BROOKSIDE HEALTH CENTER P.C. NPI 1952587149

NPI Information

NPI: 1952587149
Provider Name: BROOKSIDE HEALTH CENTER P.C.
Classification: Podiatrist - 213ES0103X
Specialization: Foot & Ankle Surgery
Entity Type: Organization
Address: 8790 TELEGRAPH RD
TAYLOR, MI
ZIP 48180
Phone: (313) 295-2520

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NPI Details

BROOKSIDE HEALTH CENTER P.C. is a foot and ankle surgery podiatrist in Taylor, MI. BROOKSIDE HEALTH CENTER P.C. NPI is 1952587149. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8790 TELEGRAPH RD
TAYLOR, MI
ZIP 48180-491
Phone: (313) 295-2520
Fax: (313) 581-0228

The provider's authorized official is Mark B Saffer .
The authorized official title is Ceo and has the following contact phone number (313) 291-2520.

The enumeration date for this NPI number is 1/17/2008 and was last updated on 1/17/2008.

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	213ES0103X	Podiatrist	Foot & Ankle Surgery	JD002075	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	4543961	MEDICAID	MICHIGAN
2	0H221790	OTHER	MICHIGAN	BCBSM
3	ON79210	MEDICARE PIN	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: 11/21/2025

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