Active NPI
Robert McBride, DPM
- Podiatrist
- Tacoma, WA
National Provider Identifier
1013924836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO00000249
- Practice address
- 4050 S 19TH St Ste 202
Tacoma, WA 98405-1462 - Phone
- (253) 565-3355
- Fax
- (253) 564-6744
- NPI assigned
- Aug 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO00000249 | WA | |
| Podiatrist | 213E00000X | PO00000249 | WA | Primary |
Addresses
Primary practice location
4050 S 19TH St Ste 202
Tacoma, WA 98405-1462
Mailing address
4050 So 19TH Street Suite 202
Ms: 737-2-Phys
Tacoma, WA 98405
Phone (253) 565-3355
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO00000249 | WA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foundation Foot and Ankle Specialists PLLC | Podiatrist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Auburn, WA
- NPI 1265099949
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1013924836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4050 SO 19TH STREET SUITE 202",
"address_2": "MS: 737-2-PHYS",
"city": "TACOMA",
"state": "WA",
"postal_code": "98405",
"telephone_number": "253-565-3355",
"fax_number": "253-564-6744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4050 S 19TH ST STE 202",
"city": "TACOMA",
"state": "WA",
"postal_code": "984051462",
"telephone_number": "253-565-3355",
"fax_number": "253-564-6744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCBRIDE",
"first_name": "ROBERT",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-02",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "WA",
"license": "PO00000249",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "WA",
"license": "PO00000249",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.