Mulberry Foot Care, LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

183 Issued in AL

Legal business name

MULBERRY FOOT CARE, LLC

Practice address

1620 Mulberry St
Montgomery, AL 36106-1522

Phone

(334) 239-7335

NPI assigned

Dec 3, 2008

Organization subpart

No

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

Authorized official

Name

Ace I Anglin, DPMNPI 1639165434

Title

Owner

Phone

(334) 239-7335

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ace I Anglin, DPM

  • Podiatrist
  • Montgomery, AL
  • NPI 1639165434
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290038400000",
    "number": "1598900615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 MULBERRY ST",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061522",
            "telephone_number": "334-239-7335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 MULBERRY ST",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061522",
            "telephone_number": "334-239-7335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULBERRY FOOT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-03",
        "last_updated": "2010-11-18",
        "status": "A",
        "authorized_official_last_name": "ANGLIN",
        "authorized_official_first_name": "ACE",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-239-7335",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "AL",
            "license": "183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mt Internal Medicine Consulting LLC
• Mtgy. Assoc. for Retarded Citizens, Inc.
• Raghu Mukkamala, MD
• Rama Lakshmi Mukkamala, MD
• Mulberry Diagnostic Imaging
• Mulberry Medical Associates, P.C
• Mulberry Medical, LLC
• Mulberry Wellness Salon LLC
• Michael Brandon Mull, O.D
• Allan Muller, DO

• Podiatrist in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Podiatrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; 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.

Verify at the official NPI Registry.