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BRONDON FOOT AND ANKLE LLC NPI 1548518871


NPI Information

NPI: 1548518871
Provider Name: BRONDON FOOT AND ANKLE LLC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
77 W ELMWOOD DR STE 311
DAYTON, OH
ZIP 45459
Phone: (937) 433-0444
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BRONDON FOOT AND ANKLE LLC is a podiatrist in Dayton, 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. BRONDON FOOT AND ANKLE LLC NPI is 1548518871. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

77 W ELMWOOD DR STE 311
DAYTON, OH
ZIP 45459-278
Phone: (937) 433-0444
Fax: (937) 433-0405

The provider's authorized official is Michael C Brondon .
The authorized official title is Dpm and has the following contact phone number (937) 433-0444.

The enumeration date for this NPI number is 8/16/2012 and was last updated on 2/19/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatrist36003616OHIOYes

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
10079560MEDICAIDOHIO

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: 4/28/2024

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