NPI 1285837773 · live from the CMS NPI Registry
Beech Grove Foot Care INC
Podiatrist in Indianapolis, IN. National Provider Identifier 1285837773, active.
NPI record
| NPI | 1285837773 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 7855 S. Emerson Ave, Suite T, Indianapolis, IN 46237 |
| Practice phone | 317-300-0106 |
| Mailing address | 7855 S Emerson Ave, Suite T, Indianapolis, IN 46237 |
| Enumerated | June 11, 2007 |
| Last updated | March 15, 2021 |
| Authorized official | Jeffrey Stevens, Doctor |
| Other names | Indy South Foot Andankle |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist primary | 213E00000X | 07000694A (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.