Organization Active NPI

Preferred Footcare LLC

  • Specialist
  • Stamford, CT
National Provider Identifier
1295920908
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
00693 Issued in CT
Legal business name
PREFERRED FOOTCARE LLC
Practice address
1100 Bedford St
Stamford, CT 06905-5305
Phone
(203) 975-9600
Fax
(203) 323-8430
NPI assigned
Sep 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Authorized official

Name
Dr. Jeremy A Bier, DPMNPI 1205859865
Title
Owner
Phone
(203) 975-9600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 00693 CT Primary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

1100 Bedford St
Stamford, CT 06905-5305

Mailing address

1100 Bedford St
Stamford, CT 06905-5305
Phone (203) 975-9600

Other identifiers 1

IdentifierTypeStateIssuer
004196657MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20091208000693 CT Part B Supplier - Clinic/Group Practice 1254410962 Receives reassigned benefits from 2 practitioners
Practice locations: Stamford, CT
O20100930033958 CT DME Supplier - Physician - Podiatry 1254410962 Practice locations: Stamford, CT

National Provider Directory

National Provider Directory

Locations

125 Strawberry Hill Ave
Ste 302
Stamford, CT 06902
Phone (203) 323-9033

1100 Bedford St
Ste 1
Stamford, CT 06905
Phone (203) 975-9600

90 S Ridge St
Ste LL-7
Rye Brook, NY 10573
Phone (914) 937-7077

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1295920908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 BEDFORD ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055305",
            "telephone_number": "203-975-9600",
            "fax_number": "203-323-8430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 BEDFORD ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055305",
            "telephone_number": "203-975-9600",
            "fax_number": "203-323-8430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED FOOTCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "BIER",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-975-9600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CT",
            "license": "00693",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004196657",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.