Lewis Podiatry Group PA

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

1574 Issued in TX

Legal business name

LEWIS PODIATRY GROUP PA

Practice address

504 N Carrier Pkwy
Grand Prairie, TX 75050-5428

Phone

(973) 263-7042

Fax

(972) 263-7046

NPI assigned

Apr 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Brandon J Lewis, DPM

Title

President

Phone

(972) 263-7042

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1093935801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 N CARRIER PKWY",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750505428",
            "telephone_number": "973-263-7042",
            "fax_number": "972-263-7046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 N CARRIER PKWY",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750505428",
            "telephone_number": "973-263-7042",
            "fax_number": "972-263-7046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS PODIATRY GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-263-7042",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180094801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0006NH",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adam Christopher Lenz, MD
• Debra Ann Leos, CFTS
• Celestine Lebyit Lesigha, RN
• Saretta Lester
• Letstalkppcm
• Brandon J. Lewis, DPM
• Thonas O'Neal Lewis, LBSW,LCDC
• Liberty Healthcare United, PA
• Karen Rebecca Liddell, OTD, OTR
• Life Revise Counseling

• Foot & Ankle Surgery Podiatrist in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Foot & Ankle Surgery Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.