North Central Texas Podiatry, PA

Primary specialty

PodiatristTaxonomy code 213E00000X

License

1305 Issued in TX

Legal business name

NORTH CENTRAL TEXAS PODIATRY, PA

Practice address

1713 S FM 51
103
Decatur, TX 76234-3642

Phone

(940) 627-6976

Fax

(940) 627-3491

NPI assigned

Sep 15, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Brian Bradford Carpenter, DPM

Title

Owner

Phone

(940) 627-6976

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326844800000",
    "number": "1083922710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 S FM 51",
            "address_2": "103",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343642",
            "telephone_number": "940-627-6976",
            "fax_number": "940-627-3491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 S FM 51",
            "address_2": "103",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343642",
            "telephone_number": "940-627-6976",
            "fax_number": "940-627-3491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CENTRAL TEXAS PODIATRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-15",
        "last_updated": "2012-01-18",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "BRADFORD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-627-6976",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0071TY",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "285988601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Decatur, TX
• Providers in Decatur, TX by specialty
• Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; 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.