DR. BRUCE IAN KACZANDER DPM
NPI 1518963628
Podiatrist - Foot & Ankle Surgery in Southfield, MI

Active since June 23, 2005
75/100
CMS Quality Rating
24725 W 12 MILE RD, STE 270, SOUTHFIELD, MI 48034(248) 353-9300(248) 353-9303 Get Directions Write a Review

NPPES record last updated: August 8, 2012. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Bruce Ian Kaczander Dpm NPPES

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

DR. BRUCE IAN KACZANDER DPM (NPI 1518963628) is an individual foot & ankle surgery provider in Southfield, Michigan, licensed in Michigan (BK001054) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1518963628
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. BRUCE IAN KACZANDERCredential: DPM
Location Address24725 W 12 MILE RD, STE 270Southfield, MI 48034-8310
Mailing Address24725 W 12 Mile Rd, Ste 270Southfield, MI 48034-8310 · (248) 353-9300 · Fax (248) 353-9303
Fax(248) 353-9303
Sole ProprietorNo
Enumeration DateJune 23, 2005
Last NPPES UpdateAugust 8, 2012
✔ NPI 1518963628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in MI · BK001054
24725 W 12 MILE RD, Southfield, MI 48034

Other Identifiers 13

Other104550400MI · Us Dep
Other480029296MI · Tricare
OtherT34322MI · Health Alliance Plan
Medicare NSC4263940001MI
Other000000002793MI · Cape
Other503536MI · Preferred Choices
Medicare UPINU84806MI
Other503536MI · Care Choice
Other101509MI · Great Lakes
Medicaid4188228MI
Medicare PIN0M94620002MI
OtherC6928MI · Mcare
Other83291MI · Omni

Accepted Insurance

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Other Providers at the Same Location NPPES 10

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

Psychiatry & Neurology (Psychiatry)
24725 W 12 MILE RD, SUITE 310
SOUTHFIELD, MI 48034
Registered Nurse
24725 W 12 MILE RD, STE 120
SOUTHFIELD, MI 48034
Chiropractor
24725 W 12 MILE RD, SUITE 260
SOUTHFIELD, MI 48034
Nurse Practitioner (Family)
24725 W 12 MILE RD
SOUTHFIELD, MI 48034
Chiropractor
24725 W 12 MILE RD, SUITE 260
SOUTHFIELD, MI 48034
Physical Therapist
24725 W 12 MILE RD, SUITE 302
SOUTHFIELD, MI 48034
Chiropractor
24725 W 12 MILE RD, 260
SOUTHFIELD, MI 48034
Chiropractor
24725 W 12 MILE RD, SUITE 260
SOUTHFIELD, MI 48034

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 Kaczander's NPI number?

The NPI number for Bruce Kaczander is 1518963628. It was assigned to this individual provider in the NPPES registry on June 23, 2005.

Where is Bruce Kaczander located?

Bruce Kaczander practices at 24725 W 12 Mile Rd Ste 270, Southfield, MI 48034. The listed phone number is (248) 353-9300.

What is Bruce Kaczander's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

What insurance does Bruce Kaczander accept?

Health plans from Priority Health list Bruce Kaczander as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bruce Kaczander was last updated on August 8, 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.