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DR MARK A GOTFRYD PC NPI 1902972607


NPI Information

NPI: 1902972607
Provider Name: DR MARK A GOTFRYD PC

Former Legal Business Name: MARK A GOTFRYD DPM PC

Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
1703 CENTER POINT PKWY
BIRMINGHAM, AL
ZIP 35215
Phone: (205) 853-7878
Get Directions

DR MARK A GOTFRYD PC is a podiatrist in Birmingham, AL. 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. DR MARK A GOTFRYD PC NPI is 1902972607. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Mark A Gotfryd Dpm Pc.

The provider's business location address is:

1703 CENTER POINT PKWY
BIRMINGHAM, AL
ZIP 35215-505
Phone: (205) 853-7878
Fax: (205) 853-8272

The provider's authorized official is Mark Gotfryd .
The authorized official title is President and has the following contact phone number (205) 853-7878.

The enumeration date for this NPI number is 11/27/2006 and was last updated on 2/1/2008.


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
1335E00000XProsthetic/Orthotic SupplierNo
2213E00000XPodiatrist00109ALABAMAYes

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
15151450001MEDICARE NSCALABAMA
2000071144MEDICARE PINALABAMA
3000072959MEDICARE PINALABAMA

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

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.