Organization Active NPI

Foot Care Center, PC

  • Foot Surgery Podiatrist
  • Fremont, NE
National Provider Identifier
1063741114
Registry record updated Apr 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
226 Issued in NE
Legal business name
FOOT CARE CENTER, PC
Practice address
1540 North Bell Street
Fremont, NE 68025-3537
Phone
(402) 721-7171
Fax
(402) 721-7233
NPI assigned
Dec 21, 2009
Last updated
Apr 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2026

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

Authorized official

Name
Charles M Halverson, DPMNPI 1821188558
Title
Doctor of Podiatric Medicine
Phone
(402) 721-7171

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
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X 226 NE Primary

Addresses

Primary practice location

1540 North Bell Street
Fremont, NE 68025-3537

Mailing address

1540 North Bell Street
Fremont, NE 68025-3537
Phone (402) 721-7171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20091229000578 NE Part B Supplier - Clinic/Group Practice 4688714421 Receives reassigned benefits from 1 practitioner
Practice locations: Columbus, NE; Fremont, NE
O20100930056328 NE DME Supplier - Physician - Podiatry 4688714421 Practice locations: Fremont, NE

National Provider Directory

National Provider Directory

Locations

2454 32nd Ave
Columbus, NE 68601
Phone (402) 563-2639

Practitioners & affiliated clinicians

Practitioners 2

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": "1261353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775865600000",
    "number": "1063741114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 NORTH BELL STREET",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680253537",
            "telephone_number": "402-721-7171",
            "fax_number": "402-721-7233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 NORTH BELL STREET",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680253537",
            "telephone_number": "402-721-7171",
            "fax_number": "402-721-7233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT CARE CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-21",
        "last_updated": "2026-04-11",
        "certification_date": "2026-04-11",
        "status": "A",
        "authorized_official_last_name": "HALVERSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DOCTOR OF PODIATRIC MEDICINE",
        "authorized_official_telephone_number": "402-721-7171",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NE",
            "license": "226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2026; 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.