Bridgeport Foot Care, LTD

Primary specialty

PodiatristTaxonomy code 213E00000X

License

016003875 Issued in IL

Legal business name

BRIDGEPORT FOOT CARE, LTD

Practice address

553 W 31St St
Chicago, IL 60616-4992

Phone

(312) 842-2230

Fax

(815) 254-7872

NPI assigned

Apr 19, 2007

Last updated

Oct 17, 2025By 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

Anthony Perez, DPM

Title

Podiatric Physician

Phone

(312) 842-2230

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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, and the practitioner matching its NPPES authorized official.

• Tony Perez, DPM

  • Podiatrist
  • Chicago, IL
  • NPI 1477587277
  Medicare reassignment NPD

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760659200000",
    "number": "1437376803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24937 WINTERBERRY LN",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605855687",
            "telephone_number": "312-842-2230",
            "fax_number": "815-254-7872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "553 W 31ST ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606164992",
            "telephone_number": "312-842-2230",
            "fax_number": "815-254-7872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEPORT FOOT CARE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PODIATRIC PHYSICIAN",
        "authorized_official_telephone_number": "312-842-2230",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016003875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridgeport Dental Specialists LLC
• Bridgeport Dental Specialists, LLC
• Bridgeport Eye Care, LLC (Miami Optical)
• Bridgeport Family Medical Center S.C.
• Bridgeport Family Medical Center S.C.
• Bridgeport Pain Control
• Bridgeport Pharmacy Inc (Bridgeport Pharmacy)
• Bridgeport Physical Wellness LLC
• Bridgeport Smiles
• Bridgeport Surgicenter, Inc

• Podiatrist in Chicago, IL
• Providers in Chicago, IL by specialty
• Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; 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.