DPM BRISSETT NRGA LLC NPI 1326040114

NPI Information

  • NPI: 1326040114
  • Provider Name: DPM BRISSETT NRGA LLC
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Organization
  • Address: 5124 GROVE FIELD PT
    LITHONIA, GA
    ZIP 30038
  • Phone: (646) 721-2072

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NPI Details

DPM BRISSETT NRGA LLC is a podiatrist in Lithonia, GA. 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. DPM BRISSETT NRGA LLC NPI is 1326040114. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5124 GROVE FIELD PT
LITHONIA, GA
ZIP 30038-387
Phone: (646) 721-2072
Fax: (866) 678-9749

The provider's authorized official is Robert P Brissett .
The authorized official title is Dpm and has the following contact phone number (646) 721-2072.

The enumeration date for this NPI number is 8/11/2005 and was last updated on 8/22/2020.

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
1213E00000XPodiatristPOD000950GEORGIAYes

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
148SCIQWOTHERGEORGIAMEDICARE

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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