PROGRESSIVE PODIATRY PLLC NPI 1255567277

NPI Information

  • NPI: 1255567277
  • Provider Name: PROGRESSIVE PODIATRY, PLLC
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Organization
  • Address: 433 77TH ST
    BROOKLYN, NY
    ZIP 11209
  • Phone: (718) 251-0200

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NPI Details

PROGRESSIVE PODIATRY, PLLC is a foot and ankle surgery podiatrist in Brooklyn, NY. PROGRESSIVE PODIATRY, PLLC NPI is 1255567277. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

433 77TH ST
BROOKLYN, NY
ZIP 11209-205
Phone: (718) 251-0200
Fax: (718) 209-5697

The provider's authorized official is Evan Breth .
The authorized official title is Owner and has the following contact phone number (718) 238-1155.

The enumeration date for this NPI number is 6/4/2009 and was last updated on 6/4/2009.

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
1213ES0103XPodiatristFoot & Ankle SurgeryYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16166250001MEDICARE NSCNEW YORK
2A100000732MEDICARE PINNEW YORK

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: 3/30/2025

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