Alta Ridge Foot Specialists, PLLC

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

License

479 Issued in NC

Legal business name

ALTA RIDGE FOOT SPECIALISTS, PLLC

Practice address

105 Chestnut St
Mars Hill, NC 28754-9602

Phone

(828) 680-1161

NPI assigned

Mar 13, 2012

Last updated

Mar 13, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert Lloyd Van Brederode, DPMNPI 1871590554

Title

Owner

Phone

(828) 680-1161

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert Lloyd Van Brederode, DPM

  • Primary Podiatric Medicine Podiatrist
  • Spruce Pine, NC
  • NPI 1871590554
  Authorized official Same address or phone
• William Aaron Broyles, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Mars Hill, NC
  • NPI 1801839964
  NPD (past)
• Thomas D Verla, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Richmond, VA
  • NPI 1376890582
  NPD (past)

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331596800000",
    "number": "1386919181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "537 ALTAPASS HWY",
            "city": "SPRUCE PINE",
            "state": "NC",
            "postal_code": "287773001",
            "telephone_number": "828-766-7667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 CHESTNUT ST",
            "city": "MARS HILL",
            "state": "NC",
            "postal_code": "287549602",
            "telephone_number": "828-680-1161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTA RIDGE FOOT SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-13",
        "last_updated": "2012-03-13",
        "status": "A",
        "authorized_official_last_name": "VAN BREDERODE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LLOYD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-680-1161",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "NC",
            "license": "479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890809T",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alta Ridge Foot Specialists, PLLC
• Virginia J Barnhardt, M.D.
• Amy T Beane, RD, FNP-BC
• Rashynda Jade Beene, FNP-C
• Jeffrey Scott Blevins Jr., PHARMD
• Bluewest Opportunities, Inc. (Blue Ridge Homes - Madison)

• Podiatric Clinic/Center in Mars Hill, NC
• Providers in Mars Hill, NC by specialty
• Podiatric Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; 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.