Organization Active NPI

Foot Care Associates

  • Ambulatory Surgical Clinic/Center
  • Redmond, WA
National Provider Identifier
1376857615
Registry record updated Jan 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
60102987 Issued in WA
Legal business name
FOOT CARE ASSOCIATES
Practice address
16146 Cleveland St
Redmond, WA 98052-4318
Phone
(425) 885-7004
Fax
(425) 885-0515
NPI assigned
Jul 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2011

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

Authorized official

Name
Dr. John H Brunsman, DPM
Title
Owner
Phone
(425) 885-7004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 60102987 WA Primary

Addresses

Primary practice location

16146 Cleveland St
Redmond, WA 98052-4318

Mailing address

PO Box 2032
Redmond, WA 98073-2032
Phone (425) 885-7004

Other identifiers 1

IdentifierTypeStateIssuer
7056377MedicaidWA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294272000000",
    "number": "1376857615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2032",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980732032",
            "telephone_number": "425-885-7004",
            "fax_number": "425-885-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16146 CLEVELAND ST",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980524318",
            "telephone_number": "425-885-7004",
            "fax_number": "425-885-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT CARE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-28",
        "last_updated": "2011-01-06",
        "status": "A",
        "authorized_official_last_name": "BRUNSMAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-885-7004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "WA",
            "license": "60102987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7056377",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; 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.