Victoria Foot and Ankle Center, PLLC

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

Legal business name

VICTORIA FOOT AND ANKLE CENTER, PLLC

Practice address

909 N Navarro St
Victoria, TX 77901-6734

Phone

(651) 500-3244

NPI assigned

Jul 26, 2021

Organization subpart

No

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

Authorized official

Name

Matthew EberlyNPI 1164638920

Title

Owner

Phone

(651) 500-3244

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

Locations

Practitioners 1

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

• Matthew Robert Eberly, DPM

  • Foot & Ankle Surgery Podiatrist
  • Victoria, TX
  • NPI 1164638920
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627257600000",
    "number": "1447923644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 N NAVARRO ST",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779016734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 N NAVARRO ST",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779016734",
            "telephone_number": "651-500-3244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA FOOT AND ANKLE CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-26",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A",
        "authorized_official_last_name": "EBERLY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-500-3244"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Eye Center PA (Victoria Eye Center)
• Victoria Family Dentistry
• Victoria Family Eyecare
• Victoria Family Eyecare, PLLC
• Victoria Family Medical Clinic PA
• Victoria Hearing Center LLC
• Victoria Heart and Vascular Center, P.a.
• Victoria Hematology & Oncology Associates PA
• Victoria Independent School District
• Victoria Kidney & Dialysis Associates

• Podiatric Clinic/Center in Victoria, TX
• Providers in Victoria, TX by specialty
• Podiatric Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; 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.