NPI 1104797695 · live from the CMS NPI Registry
Affiliates In Podiatry PC
Podiatrist in Portsmouth, NH. National Provider Identifier 1104797695, active.
NPI record
| NPI | 1104797695 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 875 Greenland Rd Unit C4, Portsmouth, NH 03801 |
| Practice phone | 603-964-6555 |
| Mailing address | Po Box 825159, Philadelphia, PA 19182 |
| Enumerated | September 16, 2025 |
| Last updated | September 17, 2025 |
| Authorized official | Jordan Meyers, Dpm |
| Other names | Dr. Brian Nagy |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | — |
| Podiatrist primary | 213E00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.