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B & R PODIATRY NPI 1790829364


NPI Information

NPI: 1790829364
Provider Name: B & R PODIATRY
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
28790 CHAGRIN BLVD
SUITE 200
WOODMERE, OH
ZIP 44122
Phone: (216) 831-3338
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B & R PODIATRY is a podiatrist in Woodmere, OH. The provider is 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. B & R PODIATRY NPI is 1790829364. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

28790 CHAGRIN BLVD
SUITE 200
WOODMERE, OH
ZIP 44122
Phone: (216) 831-3338
Fax: (440) 735-8234

The provider's authorized official is Richard J Berkowitz .
The authorized official title is Owner-podiatrist and has the following contact phone number (440) 735-3338.

The enumeration date for this NPI number is 2/16/2007 and was last updated on 7/13/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatrist2306OHIONo
2213E00000XPodiatrist36001803BOHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10445238MEDICARE PINOHIO
2T80482MEDICARE UPINOHIO
32182794MEDICAIDOHIO
4B9255141MEDICARE ID-TYPE UNSPECIFIEDOHIO
50358849MEDICAIDOHIO
63023000001MEDICARE NSCOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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