Foot Clinic of South Carolina, LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

FOOT CLINIC OF SOUTH CAROLINA, LLC

Doing business as

Foot Clinic of SC

Practice address

211 E Butler Rd
Suite A2
Mauldin, SC 29662-2169

Phone

(864) 281-9171

NPI assigned

Feb 20, 2014

Last updated

Nov 12, 2015By 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

Brad Lindstrom, DPMNPI 1609850122

Title

President

Phone

(864) 281-9171

Specialties & licenses 1

Addresses

Other names 1

• Foot Clinic of SC Doing business as

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.

• Brad A. Lindstrom, DPM

  • Primary Podiatric Medicine Podiatrist
  • Mauldin, SC
  • NPI 1609850122
  NPD (past) Authorized official

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

{
    "created_epoch": "1392854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447286400000",
    "number": "1427473966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E BUTLER RD STE A2",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "296622170",
            "telephone_number": "864-281-9171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E BUTLER RD",
            "address_2": "SUITE A2",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "296622169",
            "telephone_number": "864-281-9171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT CLINIC OF SOUTH CAROLINA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-20",
        "last_updated": "2015-11-12",
        "status": "A",
        "authorized_official_last_name": "LINDSTROM",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-281-9171",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foot Clinic of SC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Foot & Ankle Surgery Podiatrist in Mauldin, SC
• Providers in Mauldin, SC by specialty
• Foot & Ankle Surgery Podiatrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; 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.