Organization Active NPI

Brookdale Foot and Ankle Center PLLC

  • Foot & Ankle Surgery Podiatrist
  • Statesville, NC
National Provider Identifier
1184056053
Registry record updated Aug 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2013

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.