Christopher J Addison, DPM
Individual provider Active NPI Podiatrist · Bradenton, FL
NPI 1528060407 · NPPES record last updated Jan 3, 2020
Key facts
- NPI
- 1528060407
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Podiatrist 213E00000X
- License
- PO1486 (FL)
- Practice address
- 1800 Cortez Rd W
Bradenton, FL 34207-1335 - Phone
- (941) 758-8818
- Fax
- (941) 755-2901
- NPI assigned
- Aug 11, 2005
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | PO1486 | FL | Yes |
Addresses
Primary practice location
1800 Cortez Rd W
Bradenton, FL 34207-1335
Mailing address
1800 Cortez Rd W
Bradenton, FL 34207-1335
Phone (941) 758-8818
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.