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Contact Information

BRENDA L RASBERRY CASSELBERRY, DPM
2121 EXECUTIVE PARK DRIVE
OPELIKA, AL36801
 Phone: 334-705-0544
 Fax: 334-705-0548
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Surgery, Foot

213ES0131X 48 Podiatry
Indicates primary specialty

NPI Profile & details for BRENDA L RASBERRY CASSELBERRY · (Female)

NPI Number 1750484358
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 09/07/2006
Last updated 11/11/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • AL License # 132
  • AL Medicaid 529912550
  • AL Other 51540725 BCBS - OPELIKA
  • AL Other 51540360 BCBS - TUSKEGEE
  • AL Other CM3112 MEDICARE R/R PIN
  • AL Other 480013769 MEDICARE RAILROAD
  • AL Other 5043300001 PALMETTO DMERC PROVIDER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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