BRUCE TABAK, D.P.M.
NPI 1093901795
Prosthetic/Orthotic Supplier in Oxford, MI

Active since September 18, 2007
129 S WASHINGTON ST, OXFORD, MI 48371(248) 628-1880(248) 628-1881 Get Directions Write a Review

NPPES record last updated: July 23, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bruce Tabak, D.p.m. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRUCE TABAK, D.P.M. (NPI 1093901795) is a healthcare organization registered as a prosthetic/orthotic supplier in Oxford, Michigan and active in the NPI registry since September 2007. The organization lists Bruce Tabak, Owner, as its authorized official.

NPPES Registry Identity

NPI1093901795
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameBRUCE TABAK, D.P.M.
Location Address129 S WASHINGTON STOxford, MI 48371-4981
Mailing Address129 S Washington StOxford, MI 48371-4981 · (248) 628-1880 · Fax (248) 628-1881
Fax(248) 628-1881
Organization SubpartNo
Authorized OfficialBruce TabakOwner · (248) 628-1880
Enumeration DateSeptember 18, 2007
Last NPPES UpdateJuly 23, 2012
NPI 1093901795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
License Licensed in MI · 5901400128
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
129 S WASHINGTON ST, Oxford, MI 48371

Other Identifiers 1

Medicaid3142556MI

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Podiatrist
129 S WASHINGTON ST
OXFORD, MI 48371
Dentist
129 S WASHINGTON ST
OXFORD, MI 48371

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bruce Tabak, D.P.M.'s NPI number?

The NPI number for Bruce Tabak, D.P.M. is 1093901795. It was assigned to this organization in the NPPES registry on September 18, 2007.

Where is Bruce Tabak, D.P.M. located?

Bruce Tabak, D.P.M. is located at 129 S Washington St, Oxford, MI 48371. The listed phone number is (248) 628-1880.

What is Bruce Tabak, D.P.M.'s specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Bruce Tabak, D.P.M. was last updated on July 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.