Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jerad Roland Booth, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1316562515

Dr. Jerad Roland Booth, DPM is a Podiatry in Sterling Heights, Michigan. Graduated from California School of Podiatric Medicine in 2020, 6 years ago. Practices with Bazzi Podiatry, a 9-clinician group. Licensed in Michigan.

Years since qualifying
6
Trained at
California School of Podiatric Medicine
Licensed in
MI
In the registry since
2020
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

2007 E 14 Mile Rd
Sterling Heights, MI 48310-5905
Phone: (586) 244-9699
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 5901400501 (MI)

Record details

NPI number1316562515
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedJune 12, 2020
Last updated in NPPESMay 23, 2023
Certification dateMay 23, 2023
Mailing address22201 Moross Rd Ste 250, Detroit, MI 48236-2175

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolCALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduated 2020 (6 years in practice)
Group practice Bazzi Podiatry — 9 clinicians
Accepts Medicare assignment Not indicated

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