ALTA RIDGE FOOT SPECIALISTS PLLC NPI 1124414545

NPI Information

  • NPI: 1124414545
  • Provider Name: ALTA RIDGE FOOT SPECIALISTS, PLLC
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Organization
  • Address: 2211 HIGHWAY 105
    BOONE, NC
    ZIP 28607
  • Phone: (828) 286-1948

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NPI Details

ALTA RIDGE FOOT SPECIALISTS, PLLC is a podiatrist in Boone, NC. 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. ALTA RIDGE FOOT SPECIALISTS, PLLC NPI is 1124414545. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2211 HIGHWAY 105
BOONE, NC
ZIP 28607-813
Phone: (828) 286-1948
Fax: (828) 286-1951

The provider's authorized official is Robert L Van Brederode .
The authorized official title is Owner/provider and has the following contact phone number (828) 766-7667.

The enumeration date for this NPI number is 4/13/2015 and was last updated on 1/10/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatristYes
2213ES0103XPodiatristFoot & Ankle SurgeryNo
3213ES0131XPodiatristFoot SurgeryNo

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: 11/21/2025

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