Organization Active NPI

Pikeville Foot Care Center PLLC

  • Podiatric Clinic/Center
  • Pikeville, KY
National Provider Identifier
1013972439
Registry record updated Feb 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
Legal business name
PIKEVILLE FOOT CARE CENTER PLLC
Practice address
126 Trivette Drive
Suite 101
Pikeville, KY 41501
Phone
(606) 432-0003
Fax
(606) 432-0076
NPI assigned
Apr 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2015

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

Authorized official

Name
Mr. Bradwell S. Chaney, DPM
Title
Owner
Phone
(606) 432-0003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X Primary

Addresses

Primary practice location

126 Trivette Drive
Suite 101
Pikeville, KY 41501

Mailing address

126 Trivette Drive
Suite 101
Pikeville, KY 41501
Phone (606) 432-0003

Other identifiers 1

IdentifierTypeStateIssuer
80900269MedicaidKY

National Provider Directory

National Provider Directory

Locations

108 Trivette Dr
Ste 100
Pikeville, KY 41501
Phone (606) 432-0003

126 Trivette Dr
Ste 101
Pikeville, KY 41501
Phone (606) 432-0003

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424649600000",
    "number": "1013972439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 TRIVETTE DRIVE",
            "address_2": "SUITE 101",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "41501",
            "telephone_number": "606-432-0003",
            "fax_number": "606-432-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 TRIVETTE DRIVE",
            "address_2": "SUITE 101",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "41501",
            "telephone_number": "606-432-0003",
            "fax_number": "606-432-0076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIKEVILLE FOOT CARE CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2015-02-23",
        "status": "A",
        "authorized_official_last_name": "CHANEY",
        "authorized_official_first_name": "BRADWELL",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-432-0003",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80900269",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikeville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.