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BURLINGTON FOOT AND ANKLE CENTER NPI 1740478130


NPI Information

NPI: 1740478130
Provider Name: BURLINGTON FOOT AND ANKLE CENTER
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
428 ALAMANCE RD STE C
BURLINGTON, NC
ZIP 27215
Phone: (336) 226-9919
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BURLINGTON FOOT AND ANKLE CENTER is a foot and ankle surgery podiatrist in Burlington, NC. BURLINGTON FOOT AND ANKLE CENTER NPI is 1740478130. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

428 ALAMANCE RD STE C
BURLINGTON, NC
ZIP 27215-500
Phone: (336) 226-9919
Fax: (336) 226-9959

The provider's authorized official is John Andrew Petery .
The authorized official title is Owner / Doctor and has the following contact phone number (336) 226-9919.

The enumeration date for this NPI number is 10/10/2007 and was last updated on 12/6/2007.


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 Surgery409NORTH CAROLINAYes

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
12433228BOTHERNORTH CAROLINAMEDICARE GROUP PIN
24746260001MEDICARE NSC
32433228CMEDICARE PINNORTH CAROLINA
4890801UMEDICAIDNORTH CAROLINA
5790213WMEDICAIDNORTH CAROLINA

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: 5/5/2024

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