Active NPI
Shoals Foot and Ankle Clinic PC
- Foot & Ankle Surgery Podiatrist
- Florence, AL
National Provider Identifier
1477381366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- SHOALS FOOT AND ANKLE CLINIC PC
- Doing business as
- Shoals Foot and Ankle Clinic PC
- Practice address
- 202 Rosa LN
Florence, AL 35630-1769 - Phone
- (256) 764-1806
- NPI assigned
- Jul 23, 2024
- Last updated
- Feb 25, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joshua Blake Burchell, DPM
- Title
- Podiatrist
- Phone
- (256) 764-1806
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | Primary |
Addresses
Primary practice location
202 Rosa LN
Florence, AL 35630-1769
Mailing address
382 County Road 168
Killen, AL 35645-4528
Phone (256) 710-4747
Other names 1
- Shoals Foot and Ankle Clinic PC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
202 Rosa Ln
Florence, AL 35630
Phone (256) 764-1806
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Foot & Ankle Surgery Podiatrist
- Florence, AL
- NPI 1083286306
Single Specialty
-
- Primary Podiatric Medicine Podiatrist
- Florence, AL
- NPI 1275581704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721692800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740441600000",
"number": "1477381366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "382 COUNTY ROAD 168",
"city": "KILLEN",
"state": "AL",
"postal_code": "356454528",
"telephone_number": "256-710-4747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 ROSA LN",
"city": "FLORENCE",
"state": "AL",
"postal_code": "356301769",
"telephone_number": "256-764-1806"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHOALS FOOT AND ANKLE CLINIC PC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-23",
"last_updated": "2025-02-25",
"certification_date": "2025-02-25",
"status": "A",
"authorized_official_last_name": "BURCHELL",
"authorized_official_first_name": "JOSHUA",
"authorized_official_middle_name": "BLAKE",
"authorized_official_title_or_position": "PODIATRIST",
"authorized_official_telephone_number": "256-764-1806",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Shoals Foot and Ankle Clinic PC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Florence, AL
- Shoals Audiology
- Shoals Committee on Programs and Employment for the Mentally Retarded
- Shoals Committee on Programs and Employment for the Mentally Retarded
- Shoals Counseling, LLC
- Shoals Dental Center, Inc
- Shoals Gastroenterology LLC
- Shoals Gastroenterology, LLC
- Shoals Hearing Clinic, P.C.
- Shoals Home Services, LLC
- Shoals Hospice LLC (Preferred Hospice)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.