BRIDGETTE L JERRELS (NPI# 1821082306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821082306 |
| Entity Type | Individual |
| Full Name | BRIDGETTE L JERRELS |
| Credential | D.P.M. |
| Practice Address |
15488 Wildemere St Detroit MI 48238-1438 |
| Mailing Address |
Po Box 20045 Ferndale MI 48220-0045 |
| Practice Telephone | 3138635783 |
| Mailing Telephone | 3138635783 |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 5901001553 | MI | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBSM | 485-82-5187-0 | 01 | |
| MI | 2828087 | 05 |
| Street Address |
15488 WILDEMERE ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48238-1438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700372224 | Cardinal Home Healthcare Group, LLC | Home Health | 3165 Oakman Boulvard, Detroit, MI 48238 | 2018-07-09 |
| 1063963684 | Lydia Adkins | Counselor | 13505 Lasalle St, Apt 305, Detroit, MI 48238 | 2016-10-19 |
| 1750837324 | A Plus Care Transportation LLC | Clinic/Center | 14586 Wisconsin, Detroit, MI 48238 | 2016-09-01 |
| 1518413756 | Valarie Grayer - Felton | Case Manager/Care Coordinator | 15941 Fairfield St., Detroit, MI 48238 | 2016-08-28 |
| 1144773722 | Juanna Cherise Hardaway | Case Manager/Care Coordinator | 1935 Pasadena, Detroit, MI 48238 | 2016-07-29 |
| 1336503556 | Gladys S Chambers | Home Health Aide | 15473 Wisconsin, Detroit, MI 48238 | 2016-04-13 |
| 1891158788 | Karla Gill | Licensed Practical Nurse | 153060 Wildemere, Detroit, MI 48238 | 2016-03-30 |
| 1790145548 | Cecil Cosey IIi | Psychologist | 11000 W Micnichols, Detroit, MI 48238 | 2016-03-07 |
| 1508264102 | Sav-med Pharmacy Inc | Pharmacy | 2645 West Davison, Detroit, MI 48238 | 2014-12-12 |
| 1760887020 | Monument Dental PC | Dentist | 15510 Livernois Avenue, Detroit, MI 48238 | 2014-10-29 |
| Find all providers in zip 48238 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124422233 | Arnold S. Gross, Dpm PC | Podiatrist | 18254 Livernois Ave Ste 2, Detroit, MI 48221-4214 | 2014-10-17 |
| 1366629594 | Lawrence B Rubin Dpm PC | Podiatrist | 18530 Grand River, Detroit, MI 48223 | 2008-01-30 |
| 1912116807 | 7-huntington Podiatry Associates PC | Podiatrist | 19350 West Seven Mile Rd, Detroit, MI 48219 | 2007-05-21 |
| 1447471669 | Wendy W. Webster Dpm,pc | Podiatrist | 19933 Livernois Ave, Ste B, Detroit, MI 48221-1234 | 2007-05-02 |
| 1538200019 | James Schelberg | Podiatrist | 500 Griswold St, Ste 1b, Detroit, MI 48226-3480 | 2007-02-09 |
| 1578651253 | Ralph J Zicherman | Podiatrist | 18663 Livernois Avenue, Detroit, MI 48221 | 2006-10-10 |
| 1245327543 | Charles Marvin Johnson | Podiatrist | 10244 W 7 Mile Rd, Detroit, MI 48221-1904 | 2006-10-06 |
| 1326153537 | Ronald A Hackelman | Podiatrist | 634 Chene Street, Detroit, MI 48207 | 2006-08-20 |
| 1336252857 | Podiatry Examiners of Michigan PC | Podiatrist | 3800 Woodward Avenue, Suite 318, Detroit, MI 48201-2066 | 2006-08-17 |
| 1992734727 | Sylvia L Loving | Podiatrist | 18300 W Mcnichols Rd, Detroit, MI 48219-4162 | 2006-07-02 |
| Find all providers in DETROIT | ||||
Please comment or provide details below to improve the information on BRIDGETTE L JERRELS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.