DR. BRUCE MICHAEL JACOB D.P.M. NPI 1710066881

NPI Information

  • NPI: 1710066881
  • Provider Name: DR. BRUCE MICHAEL JACOB, D.P.M.
  • Classification: Podiatrist - 213EP1101X
  • Specialization: Primary Podiatric Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6689 ORCHARD LAKE RD # 302
    WEST BLOOMFIELD, MI
    ZIP 48322
  • Phone: (248) 757-0030

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NPI Details

DR. Bruce Michael Jacob, D.P.M. is a primary podiatric medicine podiatrist in West Bloomfield, MI with 7 years of experience. DR. Bruce Michael Jacob, D.P.M. NPI is 1710066881. 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:

6689 ORCHARD LAKE RD # 302
WEST BLOOMFIELD, MI
ZIP 48322-404
Phone: (248) 757-0030
Fax: (248) 757-0025

The NPI 1710066881 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 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.

  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • Established patient home visit, typically 15 minutes (HCPCS:99347)
  • Removal of tissue from wound, 20.0 sq cm or less (HCPCS:97597)
  • Simple separation of fingernail or toenail from nail bed, first nail (HCPCS:11730)
  • Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes (HCPCS:99334)
  • New patient home visit, typically 30 minutes (HCPCS:99342)

The enumeration date for this NPI number is 11/2/2006 and was last updated on 11/25/2024.

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
1213EP1101XPodiatristPrimary Podiatric Medicine5901000789MICHIGANYes

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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