BANGOR PODIATRY LLC NPI 1972996189

NPI Information

  • NPI: 1972996189
  • Provider Name: BANGOR PODIATRY LLC
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Organization
  • Other Name: BANGOR PODIATRY OF BRODHEADSVILLE
  • Address: 1310 ROUTE 209 STE 107
    GILBERT, PA
    ZIP 18331
  • Phone: (570) 992-5779

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NPI Details

BANGOR PODIATRY LLC is a foot and ankle surgery podiatrist in Gilbert, PA. BANGOR PODIATRY LLC NPI is 1972996189. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Bangor Podiatry Of Brodheadsville.

The provider's business location address is:

1310 ROUTE 209 STE 107
GILBERT, PA
ZIP 18331-751
Phone: (570) 992-5779
Fax: (570) 992-5806

The provider's authorized official is Cheralyn Perkins .
The authorized official title is Owner and has the following contact phone number (610) 588-6621.

The enumeration date for this NPI number is 3/12/2015 and was last updated on 11/15/2024.

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 SurgerySC004468LPENNSYLVANIAYes

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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