Active NPI
Brookdale Foot and Ankle Center PLLC
- Foot & Ankle Surgery Podiatrist
- Statesville, NC
National Provider Identifier
1184056053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- BROOKDALE FOOT AND ANKLE CENTER PLLC
- Practice address
- 533 Brookdale Dr
Statesville, NC 28677-4107 - Phone
- (704) 872-2028
- Fax
- (704) 872-3390
- NPI assigned
- Aug 2, 2013
- Last updated
- Aug 2, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dianne H Pickard
- Title
- Coo
- Phone
- (336) 382-4299
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | NC | Primary |
Addresses
Primary practice location
533 Brookdale Dr
Statesville, NC 28677-4107
Mailing address
533 Brookdale Dr
Statesville, NC 28677-4107
Phone (704) 872-2028
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375401600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1375401600000",
"number": "1184056053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "533 BROOKDALE DR",
"city": "STATESVILLE",
"state": "NC",
"postal_code": "286774107",
"telephone_number": "704-872-2028",
"fax_number": "704-872-3390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "533 BROOKDALE DR",
"city": "STATESVILLE",
"state": "NC",
"postal_code": "286774107",
"telephone_number": "704-872-2028",
"fax_number": "704-872-3390"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROOKDALE FOOT AND ANKLE CENTER PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-02",
"last_updated": "2013-08-02",
"status": "A",
"authorized_official_last_name": "PICKARD",
"authorized_official_first_name": "DIANNE",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "336-382-4299"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Statesville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.