NPIMap

Organization Active NPI

Bradford Foot and Ankle Specialties

  • Prosthetic/Orthotic Supplier
  • Troy, PA
National Provider Identifier
1467428300
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
SC003249L Issued in PA
Legal business name
BRADFORD FOOT AND ANKLE SPECIALTIES
Practice address
105 John St
Troy, PA 16947-1117
Phone
(570) 297-2118
Fax
(570) 297-0179
NPI assigned
Feb 28, 2006
Last updated
Jul 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

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

Authorized official

Name
Timothy M Kump, DPMNPI 1841294485
Title
Owner
Phone
(570) 297-2118

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X SC003249L PA Primary

Addresses

Primary practice location

105 John St
Troy, PA 16947-1117

Mailing address

1143 Northern Blvd
#170
Clarks Summit, PA 18411-2221
Phone (570) 451-3910

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1467428300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1143 NORTHERN BLVD",
            "address_2": "#170",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184112221",
            "telephone_number": "570-451-3910",
            "fax_number": "570-451-3236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 JOHN ST",
            "city": "TROY",
            "state": "PA",
            "postal_code": "169471117",
            "telephone_number": "570-297-2118",
            "fax_number": "570-297-0179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADFORD FOOT AND ANKLE SPECIALTIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "KUMP",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-297-2118",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "PA",
            "license": "SC003249L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; 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.