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BRANDYWINE PODIATRY PA NPI 1730274069


NPI Information

NPI: 1730274069
Provider Name: BRANDYWINE PODIATRY, PA
Classification: Podiatrist - 213E00000X
Entity Type: Organization

CLIA Number: 08D1043525

Address:
1010 NORTH BANCROFT PARKWAY
SUITE 12
WILMINGTON, DE
ZIP 19805
Phone: (302) 658-1129
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BRANDYWINE PODIATRY, PA is a podiatrist in Wilmington, DE. 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. BRANDYWINE PODIATRY, PA NPI is 1730274069. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1010 NORTH BANCROFT PARKWAY
SUITE 12
WILMINGTON, DE
ZIP 19805-668
Phone: (302) 658-1129
Fax: (302) 658-7646

The provider's authorized official is Christopher Leigh Savage .
The authorized official title is President Owner and has the following contact phone number (302) 658-1129.

The CLIA number assigned to this NPI record is 08D1043525 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 11/16/2010.


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
1213E00000XPodiatristYes

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
10857930002MEDICARE NSCDELAWARE
20000148850MEDICAIDDELAWARE
3G02014MEDICARE PINDELAWARE

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.