Organization Active NPI

American Foot and Ankle Inc

  • Podiatrist
  • Peru, IN
National Provider Identifier
1104154863
Registry record updated Oct 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
07000906A Issued in IN
Legal business name
AMERICAN FOOT AND ANKLE INC
Practice address
632 West Main Street
Peru, IN 46970
Phone
(765) 473-4220
Fax
(765) 473-4223
NPI assigned
Nov 18, 2009
Last updated
Oct 5, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2010

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

Authorized official

Name
Dr. Bradley R Hammersley, D.P.M.NPI 1295780872
Title
Doctor/Owner
Phone
(765) 473-4220

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 07000906A IN Primary
Durable Medical Equipment & Medical Supplies 332B00000X 07000906A IN

Addresses

Primary practice location

632 West Main Street
Peru, IN 46970

Mailing address

632 West Main Street
Peru, IN 46970
Phone (765) 473-4220

National Provider Directory

National Provider Directory

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": "1258502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286236800000",
    "number": "1104154863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 WEST MAIN STREET",
            "city": "PERU",
            "state": "IN",
            "postal_code": "46970",
            "telephone_number": "765-473-4220",
            "fax_number": "765-473-4223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 WEST MAIN STREET",
            "city": "PERU",
            "state": "IN",
            "postal_code": "46970",
            "telephone_number": "765-473-4220",
            "fax_number": "765-473-4223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN FOOT AND ANKLE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-18",
        "last_updated": "2010-10-05",
        "status": "A",
        "authorized_official_last_name": "HAMMERSLEY",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "765-473-4220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "IN",
            "license": "07000906A",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IN",
            "license": "07000906A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peru, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; 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.