Eastern Shore Foot Center, P.C.

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

82 Issued in AL

Legal business name

EASTERN SHORE FOOT CENTER, P.C.

Practice address

1913 US Highway 98
Daphne, AL 36526-4371

Phone

(251) 626-5065

Fax

(251) 626-7580

NPI assigned

Jan 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Randell Braun, D.P.M.NPI 1891852091

Title

President

Phone

(251) 626-5065

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Randell I Braun, D.P.M.

  • Foot Surgery Podiatrist
  • Daphne, AL
  • NPI 1891852091
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290038400000",
    "number": "1417004656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1913 US HIGHWAY 98",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264371",
            "telephone_number": "251-626-5065",
            "fax_number": "251-626-7580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1913 US HIGHWAY 98",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264371",
            "telephone_number": "251-626-5065",
            "fax_number": "251-626-7580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN SHORE FOOT CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2010-11-18",
        "status": "A",
        "authorized_official_last_name": "BRAUN",
        "authorized_official_first_name": "RANDELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "251-626-5065",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "AL",
            "license": "82",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eastern Shore Chiropractic LLC
• Eastern Shore Dental Associates LLC
• Eastern Shore Dental, P.C.
• Eastern Shore Developmental Clinic
• Eastern Shore Family Practice PC
• Eastern Shore Physical Therapy, Inc
• Eastern Shore Urgent Care LLC
• Edema Therapy Company
• Edema Therapy Company
• Elite Physical Therapy Inc

• Foot Surgery Podiatrist in Daphne, AL
• Providers in Daphne, AL by specialty
• Foot Surgery Podiatrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.