NICHOLAS BRADLEE DPM PC
NPI 1497860464
Podiatrist in Troy, MI

Active since August 20, 2006
1909 LIVERNOIS, TROY, MI 48083(248) 244-9565(248) 244-8183 Get Directions Write a Review

NPPES record last updated: November 20, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicholas Bradlee Dpm Pc NPPES

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

NICHOLAS BRADLEE DPM PC (NPI 1497860464) is a healthcare organization registered as a podiatrist in Troy, Michigan and active in the NPI registry since August 2006. The organization lists Nicholas Bradlee, Owner, as its authorized official.

NPPES Registry Identity

NPI1497860464
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameNICHOLAS BRADLEE DPM PC
Location Address1909 LIVERNOISTroy, MI 48083
Mailing AddressPo Box 1029Troy, MI 48099-1029 · (248) 244-9565 · Fax (248) 244-8183
Fax(248) 244-8183
Organization SubpartNo
Authorized OfficialNicholas BradleeOwner · (248) 244-9565
Enumeration DateAugust 20, 2006
Last NPPES UpdateNovember 20, 2012
NPI 1497860464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License Licensed in MI · NB000558
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
1909 LIVERNOIS, Troy, MI 48083

Other Identifiers 7

Other8505050Blue Shield Of Mich
Medicare PINOP19590
Other5635277Blue Cross
Other8505050Blue Cross Blue Shield
Other5635277Blue Cross Blue Shield
Medicare NSC5983140002MI
Medicare UPINT34175

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Nicholas Bradlee Dpm PC's NPI number?

The NPI number for Nicholas Bradlee Dpm PC is 1497860464. It was assigned to this organization in the NPPES registry on August 20, 2006.

Where is Nicholas Bradlee Dpm PC located?

Nicholas Bradlee Dpm PC is located at 1909 Livernois, Troy, MI 48083. The listed phone number is (248) 244-9565.

What is Nicholas Bradlee Dpm PC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Nicholas Bradlee Dpm PC was last updated on November 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.