American Foot and Ankle Inc

Organization Active NPI Podiatrist · Peru, IN

NPI 1104154863 · NPPES record last updated Oct 5, 2010

Key facts

NPI
1104154863
Entity type
Organization (NPI type 2)
Primary specialty
Podiatrist 213E00000X
License
07000906A (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
Organization subpart
No

Authorized official

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

National Provider Directory

Locations

632 W Main St
Peru, IN 46970
Phone (765) 473-4220

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist
Group: 193400000X SINGLE SPECIALTY GROUP
213E00000X 07000906A IN Yes
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

Other identifiers

IdentifierTypeStateIssuer
7977917OtherINCIGNA
000000670197OtherINBLUE CROSS BLUE SHIELD
200984730MedicaidIN

Other providers in Peru, IN

All providers in Peru, IN · Podiatrist in Indiana

Sources for this page

Verify at the official NPI Registry.