NPIMap

Organization Active NPI

Instride Foot and Ankle Specialists, PLLC

  • Foot & Ankle Surgery Podiatrist
  • New Bern, NC
National Provider Identifier
1003160680
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
INSTRIDE FOOT AND ANKLE SPECIALISTS, PLLC
Practice address
3109 Trent Rd
New Bern, NC 28562-5736
Phone
(252) 638-4700
Fax
(252) 638-5766
NPI assigned
Nov 2, 2012
Last updated
Aug 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Eldon PetersNPI 1588071484
Title
Vice President
Phone
(919) 829-0076

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

3109 Trent Rd
New Bern, NC 28562-5736

Mailing address

1036 Branchview Dr Ste 216
Concord, NC 28025-0113
Phone (704) 886-1918

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130205000504 NC DME Supplier - Physician - Podiatry 7012168271 Practice locations: New Bern, NC

Other NPIs with the same Medicare PAC ID 21

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 21

National Provider Directory

National Provider Directory
Tax ID family
Instride Foot Ankle Specialists PLLC24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

Organizations that report the same tax identification number in the National Provider Directory.

View all 23

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JGADCD

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1351814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755648000000",
    "number": "1003160680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1036 BRANCHVIEW DR STE 216",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280250113",
            "telephone_number": "704-886-1918",
            "fax_number": "704-257-2049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3109 TRENT RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625736",
            "telephone_number": "252-638-4700",
            "fax_number": "252-638-5766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTRIDE FOOT AND ANKLE SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-02",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "ELDON",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "919-829-0076"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.