CRYSTAL COAST PODIATRY PLLC NPI 1932265196

NPI Information

  • NPI: 1932265196
  • Provider Name: CRYSTAL COAST PODIATRY, PLLC
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Organization
  • Address: 3109 TRENT RD
    NEW BERN, NC
    ZIP 28562
  • Phone: (252) 638-4700

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NPI Details

CRYSTAL COAST PODIATRY, PLLC is a podiatrist in New Bern, NC. 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. CRYSTAL COAST PODIATRY, PLLC NPI is 1932265196. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3109 TRENT RD
NEW BERN, NC
ZIP 28562-736
Phone: (252) 638-4700
Fax: (252) 638-5766

The provider's authorized official is Thomas John Bobrowski .
The authorized official title is Managing Member and has the following contact phone number (252) 638-4700.

The enumeration date for this NPI number is 12/29/2006 and was last updated on 2/10/2010.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatrist417NORTH 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
12339609MEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINA
25522520001MEDICARE NSCNORTH CAROLINA
30800UOTHERNORTH CAROLINABCBS
4790800UMEDICAIDNORTH 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: 11/21/2025

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