NPI 1194804831 · live from the CMS NPI Registry
Brian F Pontarelli, DPM
Podiatrist, Foot & Ankle Surgery in Providence, RI. National Provider Identifier 1194804831, active.
NPI record
| NPI | 1194804831 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 486 Silver Spring St, Providence, RI 02904 |
| Practice phone | 401-751-2660 |
| Mailing address | 250 Wampanoag Trail, Suite 205 Rhode Island Foot Care INC, East Providence, RI 02915 |
| Enumerated | November 3, 2006 |
| Last updated | February 7, 2008 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | DPM00294 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.