Organization Active NPI

Advanced Foot Care PC

  • Primary Podiatric Medicine Podiatrist
  • Montgomery, AL
National Provider Identifier
1467647446
Registry record updated Dec 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
134 Issued in AL
Legal business name
ADVANCED FOOT CARE PC
Practice address
348 Saint Lukes Dr
Montgomery, AL 36117-7108
Phone
(334) 271-3333
Fax
(334) 271-3768
NPI assigned
Sep 12, 2007
Last updated
Dec 20, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2007

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

Authorized official

Name
Dr. Theresa Iola Brown, DPMNPI 1750409231
Title
Ceo/Owner
Phone
(334) 271-3333

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
Primary Podiatric Medicine Podiatrist 213EP1101X 134 AL Primary

Addresses

Primary practice location

348 Saint Lukes Dr
Montgomery, AL 36117-7108

Mailing address

7956 Vaugh Rode
#193
Montgomery, AL 36116
Phone (334) 233-3364

Other identifiers 1

IdentifierTypeStateIssuer
08630OtherALBCBS OF ALABAMA

National Provider Directory

National Provider Directory

Locations

7956 Vaughn Rd
Montgomery, AL 36116
Phone (334) 392-9214

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": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198108800000",
    "number": "1467647446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7956 VAUGH RODE",
            "address_2": "#193",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "36116",
            "telephone_number": "334-233-3364",
            "fax_number": "334-271-3768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 SAINT LUKES DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177108",
            "telephone_number": "334-271-3333",
            "fax_number": "334-271-3768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED FOOT CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "IOLA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "334-271-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "AL",
            "license": "134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA",
            "identifier": "08630",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; 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.