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Contact Information

BRAXTON H RIDER, D.P.M
1 AUDUBON PLAZA DR
LOUISVILLE, KY40217-1318
 Phone: 502-636-7111
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Assistant, Podiatric

211D00000X
 

Primary Podiatric Medicine

213EP1101X 48 Podiatry
 

Public Health

213EP0504X 48 Podiatry
 

Radiology

213ER0200X 48 Podiatry
 

Sports Medicine

213ES0000X 48 Podiatry
 

Surgery, Foot

213ES0131X 48 Podiatry
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for BRAXTON H RIDER · (Male)

NPI # 1962186726
Status Active
Credentials D.P.M
Entity Individual
Enumeration date 06/12/2023
Last updated 06/12/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 284367
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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