Organization Active NPI

Southeast Podiatry PC

  • Primary Podiatric Medicine Podiatrist
  • Fairhope, AL
National Provider Identifier
1023455102
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
Legal business name
SOUTHEAST PODIATRY PC
Practice address
23937 US Highway 98 Ste 1
Fairhope, AL 36532-3354
Phone
(251) 928-6768
NPI assigned
May 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Authorized official

Name
Brent M HarwoodNPI 1609869536
Title
Owner
Phone
(251) 928-6768

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213EP1101X Primary

Addresses

Primary practice location

23937 US Highway 98 Ste 1
Fairhope, AL 36532-3354

Mailing address

23937 US Highway 98 Ste 1
Fairhope, AL 36532-3354
Phone (251) 928-6768

National Provider Directory

National Provider Directory

Locations

1318 S Main St
Atmore, AL 36502
Phone (800) 598-9527

610 Douglas Ave
Brewton, AL 36426
Phone (251) 928-6768

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": "1369785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782345600000",
    "number": "1023455102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23937 US HIGHWAY 98 STE 1",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365323354",
            "telephone_number": "251-928-6768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23937 US HIGHWAY 98 STE 1",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365323354",
            "telephone_number": "251-928-6768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST PODIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-29",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A",
        "authorized_official_last_name": "HARWOOD",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-928-6768"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairhope, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; 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.