NPI 1730190455 · live from the CMS NPI Registry
Bruce Freedman Dpm PC
Podiatrist in Richlands, VA. National Provider Identifier 1730190455, active.
NPI record
| NPI | 1730190455 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 6719 Governor Gc Peery Hwy, Ste 1900, Richlands, VA 24641 |
| Practice phone | 276-964-9633 |
| Mailing address | P O Box 1304, Richlands, VA 24641 |
| Enumerated | August 10, 2006 |
| Last updated | April 23, 2014 |
| Authorized official | Bruce Freedman, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist primary | 213E00000X | 351 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.