ALTA RIDGE FOOT SPECIALISTS PLLC NPI 1629412671

NPI Information

  • NPI: 1629412671
  • Provider Name: ALTA RIDGE FOOT SPECIALISTS, PLLC
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Organization
  • Address: 440 ALTAPASS HWY
    SPRUCE PINE, NC
    ZIP 28777
  • Phone: (828) 766-7667

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NPI Details

ALTA RIDGE FOOT SPECIALISTS, PLLC is a foot and ankle surgery podiatrist in Spruce Pine, NC. ALTA RIDGE FOOT SPECIALISTS, PLLC NPI is 1629412671. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

440 ALTAPASS HWY
SPRUCE PINE, NC
ZIP 28777-011
Phone: (828) 766-7667

The provider's authorized official is Robert 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 4/22/2013 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
1213E00000XPodiatristNo
2213ES0103XPodiatristFoot & Ankle SurgeryYes
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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