Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgery, Foot & Ankle |
213ES0103X | 48 | Podiatry | |
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company | |
Podiatrist |
213E00000X | 48 | Podiatry | |
Prosthetic/Orthotic Supplier |
335E00000X | 51 | Medical Supply Company with Orthotist |
| NPI Number | 1306942842 |
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| LBN Legal business name | BC PODIATRY PLLC | ||||||||||||||||||||||||||||||||||||
| Authorized official | BRIAN DPM - (OWNER) | ||||||||||||||||||||||||||||||||||||
| Entity | Organization | ||||||||||||||||||||||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||||||||||||||||||||||
| Enumeration date | 09/15/2006 | ||||||||||||||||||||||||||||||||||||
| Last updated | 11/24/2025 - About 6 months ago | ||||||||||||||||||||||||||||||||||||
| Identifiers |
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