Active NPI
Foot Care Associates
- Ambulatory Surgical Clinic/Center
- Redmond, WA
National Provider Identifier
1376857615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 60102987
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7056377 | Medicaid | WA |
National Provider Directory
National Provider DirectoryNPI 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.