Individual provider Active NPI

Torrin Charles Lundberg, DPM

  • Foot & Ankle Surgery Podiatrist
  • Mauldin, SC
National Provider Identifier
1376284505
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
784 Issued in SC
Practice address
211 E Butler Rd Ste A2
Mauldin, SC 29662-2170
Phone
(864) 281-9171
Fax
(978) 327-7938
NPI assigned
Apr 3, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 784 SC Primary

Addresses

Primary practice location

211 E Butler Rd Ste A2
Mauldin, SC 29662-2170

Mailing address

211 E Butler Rd Ste A2
Mauldin, SC 29662-2170
Phone (864) 281-9171

Other identifiers 1

IdentifierTypeStateIssuer
D06633781OtherAZDRIVER'S LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250820005085 SC Practitioner - Podiatry 7012392186 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot Clinic of South Carolina LLCGroup PAC ID 7315961349, 3 clinicians

Practice addresses (Care Compare)

211 E Butler Rd
Suite A2
Mauldin, SC 29662-2170
Phone (864) 281-9171

Hospital & facility affiliations

  • St Francis-Downtown Hospital, Greenville, SC, CCN 420023

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue59
Removal of skin lesions1-10
Removal of nail tissue287
Removal or shaving of skin growth114
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Foot Clinic of South Carolina, LLC Foot & Ankle Surgery CurrentSince Jul 1, 2025 Accepting new patients
Foot Clinic of South Carolina, LLC CurrentSince Jul 1, 2025 Accepting new patients

Locations

998 Medical Ridge Rd
Clinton, SC 29325
Phone (864) 938-6984

211 E Butler Rd
#2
Mauldin, SC 29662

211 E Butler Rd
Ste A2
Mauldin, SC 29662
Phone (864) 281-9171

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IJHHAA/Endpoint/IJHHAA

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1648944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1376284505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E BUTLER RD STE A2",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "296622170",
            "telephone_number": "864-281-9171",
            "fax_number": "978-327-7938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E BUTLER RD STE A2",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "296622170",
            "telephone_number": "864-281-9171",
            "fax_number": "978-327-7938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDBERG",
        "first_name": "TORRIN",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-03",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "SC",
            "license": "784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER'S LICENSE",
            "identifier": "D06633781",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mauldin, SC

Sources for this page

Verify at the official NPI Registry.