Wellformed AI

NPI 1346299773 · live from the CMS NPI Registry

Jonathan Nathaniel Brantley, D.P.M.

Podiatrist, Foot & Ankle Surgery in Richmond, VA. National Provider Identifier 1346299773, active.

NPI record

NPI1346299773 Type 1 · individual
StatusActive
Primary specialtyPodiatrist, Foot & Ankle Surgery 213ES0103X
Practice location1201 Broad Rock Blvd, Surgical Service (112h), Richmond, VA 23249
Practice phone804-675-5112
EnumeratedMay 10, 2006
Last updatedFebruary 21, 2025
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Podiatrist, Foot & Ankle Surgery primary213ES0103X0103000902 (VA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.