Pedorthic Concepts, Inc

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

PEDORTHIC CONCEPTS, INC

Practice address

3021 Lorna Rd
Suite 300
Birmingham, AL 35216-4587

Phone

(205) 823-5580

Fax

(205) 823-5590

NPI assigned

Oct 24, 2006

Organization subpart

No

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

Authorized official

Name

Mr. David Glenn Ford, C.PED

Title

President

Phone

(205) 823-5580

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The FootCare Center Doing business as

Locations

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477637601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3021 LORNA RD",
            "address_2": "SUITE 300",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352164587",
            "telephone_number": "205-823-5580",
            "fax_number": "205-823-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3021 LORNA RD",
            "address_2": "SUITE 300",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352164587",
            "telephone_number": "205-823-5580",
            "fax_number": "205-823-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDORTHIC CONCEPTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-823-5580",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.PED"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51514840",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The FootCare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pediatric Radiology Associates PC
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• Pediatric Therapy Associates, Inc.
• Pediatrics PM, LLC.
• Pedicure, LLC
• Peds RX Pharmacy Solutions
• Kimberly Erin Peek
• Madison Peek, RBT
• Claire Peel, PT, PHD
• William R Peeples, LPC

• Customized Equipment (DME) in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Customized Equipment (DME) in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.