DR. BRAXTON HARRIS RIDER D.P.M NPI 1962186726

NPI Information

NPI: 1962186726
Provider Name: DR. BRAXTON HARRIS RIDER, D.P.M
Classification: Podiatrist - 213E00000X
Entity Type: Individual
Address:
1 AUDUBON PLAZA DR
LOUISVILLE, KY
ZIP 40217
Phone: (502) 636-7111
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DR. Braxton Harris Rider, D.P.M is a podiatrist in Louisville, KY. 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. Braxton Harris Rider, D.P.M NPI is 1962186726. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1 AUDUBON PLAZA DR
LOUISVILLE, KY
ZIP 40217-318
Phone: (502) 636-7111

The enumeration date for this NPI number is 6/12/2023 and was last updated on 6/12/2023.

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
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	284367	KENTUCKY	No
2	213EP0504X	Podiatrist	Public Medicine	284367	KENTUCKY	No
3	213EP1101X	Podiatrist	Primary Podiatric Medicine	284367	KENTUCKY	No
4	213ER0200X	Podiatrist	Radiology	284367	KENTUCKY	No
5	213ES0000X	Podiatrist	Sports Medicine	284367	KENTUCKY	No
6	213ES0131X	Podiatrist	Foot Surgery	284367	KENTUCKY	No
7	213E00000X	Podiatrist		284367	KENTUCKY	Yes
8	211D00000X	Assistant, Podiatric		284367	KENTUCKY	No

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

NPI Synchronization or Removal

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