Brunswick Foot & Ankle Surgery

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

Legal business name

BRUNSWICK FOOT & ANKLE SURGERY

Practice address

14 Doctors Cir
Suite 2
Supply, NC 28462-4097

Phone

(919) 751-9120

Fax

(919) 751-9170

NPI assigned

Mar 5, 2007

Last updated

Sep 21, 2011By 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

Dr. Joseph Kibler, DPMNPI 1467425348

Title

Owner

Phone

(919) 751-9120

Specialties & licenses 2

Addresses

Other identifiers 2

Practitioners 1

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.

• Joseph F Kibler, DPM

  • Primary Podiatric Medicine Podiatrist
  • Supply, NC
  • NPI 1467425348

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316563200000",
    "number": "1396874285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 DOCTORS CIR",
            "address_2": "SUITE 2",
            "city": "SUPPLY",
            "state": "NC",
            "postal_code": "284624097",
            "telephone_number": "919-751-9120",
            "fax_number": "919-751-9170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 DOCTORS CIR",
            "address_2": "SUITE 2",
            "city": "SUPPLY",
            "state": "NC",
            "postal_code": "284624097",
            "telephone_number": "919-751-9120",
            "fax_number": "919-751-9170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUNSWICK FOOT & ANKLE SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2011-09-21",
        "status": "A",
        "authorized_official_last_name": "KIBLER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-751-9120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NC",
            "license": "452",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890806X",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DMERC PTAN",
            "identifier": "5199990001",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kusanya Amice Brooks, PMHNP
• Benjamin Bryan Browning, MD
• Hannah Jo Browning
• Brunswick Cardiology (Brunswick Cardiology,PC)
• Brunswick Community College Interagency Program
• Brunswick OB-GYN, P.a.
• Brunswick Physical Therapy
• Brunswick Physical Therapy LLC
• Brunswick Surgical Associates, PLLC
• Kevin Scott Cahill, MD, PHD

• Podiatric Clinic/Center in Supply, NC
• Providers in Supply, 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 Sep 21, 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.