Bangor Podiatry LLC

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

Legal business name

BANGOR PODIATRY LLC

Practice address

224 Nazareth Pike
Bethlehem, PA 18020-9080

Phone

(610) 351-9244

Fax

(610) 351-9247

NPI assigned

Apr 25, 2016

Organization subpart

No

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

Authorized official

Name

Cheralyn Perkins

Title

Office Manager

Phone

(610) 588-6621

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Bangor Podiatry of Bethlehem Doing business as

Tax ID family

Bangor Podiatry LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bangor Podiatry LLC

  • Foot & Ankle Surgery Podiatrist
  • Bangor, PA
  • NPI 1366491938
  NPD tax ID

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1124473426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 BLUE VALLEY DR",
            "city": "BANGOR",
            "state": "PA",
            "postal_code": "180131526",
            "telephone_number": "610-588-6621",
            "fax_number": "610-588-6307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 NAZARETH PIKE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180209080",
            "telephone_number": "610-351-9244",
            "fax_number": "610-351-9247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANGOR PODIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-25",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "PERKINS",
        "authorized_official_first_name": "CHERALYN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "610-588-6621"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "PA",
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025694980001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bangor Podiatry of Bethlehem",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amber Shumar Baloh, CRNA
• Patrick Bambrick, PT
• Omolara Olabisi Bamgbelu, M.D.
• Ruslan Banai, DO
• Abin Bandyopadhyay, M.D.
• Olusegun Benjamin Bankole, M.D
• Alexandra Banks
• Tara N Banville, PA-C
• Nikolas J. Baran, DO
• Kevin Barata, PT

• Primary Podiatric Medicine Podiatrist in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Primary Podiatric Medicine Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.