GLENN F DEVRIES NPI 1821176124

NPI Information

  • NPI: 1821176124
  • Provider Name: GLENN F DEVRIES
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Organization
  • Doing Business As: BERLIN FAMILY FOOT CARE CLINIC
  • Address: 322 BROADWAY ST
    BERLIN, WI
    ZIP 54923
  • Phone: (920) 361-3036

Map and Directions

Get Directions

NPI Details

GLENN F DEVRIES is a foot and ankle surgery podiatrist in Berlin, WI. GLENN F DEVRIES NPI is 1821176124. The provider is registered as an organization entity type.
The provider Is Doing Business As Berlin Family Foot Care Clinic.

The provider's business location address is:

322 BROADWAY ST
BERLIN, WI
ZIP 54923-706
Phone: (920) 361-3036
Fax: (920) 361-7317

The provider's authorized official is Glenn F Devries .
The authorized official title is Owner and has the following contact phone number (920) 361-3036.

The enumeration date for this NPI number is 11/2/2006 and was last updated on 2/17/2009.

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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2213ES0103XPodiatristFoot & Ankle Surgery467WISCONSINYes

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
10691500004MEDICARE NSCWISCONSIN
285625MEDICARE PINWISCONSIN

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

NPI Synchronization or Removal

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.

Previous NPI
Next NPI