Organization Active NPI

Brian Przystawski, DPM, PSC

Doing business as Foot & Ankle Specialists

  • Foot & Ankle Surgery Podiatrist
  • New Albany, IN
National Provider Identifier
1609966159
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
BRIAN PRZYSTAWSKI, DPM, PSC
Doing business as
Foot & Ankle Specialists
Practice address
2857 Charlestown Rd Ste 300
New Albany, IN 47150-0005
Phone
(812) 948-0211
Fax
(812) 948-0880
NPI assigned
Oct 13, 2006
Last updated
Nov 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Authorized official

Name
Dr. Brian T Przystawski, DPM
Title
Owner
Phone
(812) 948-0211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X IN Primary

Addresses

Primary practice location

2857 Charlestown Rd Ste 300
New Albany, IN 47150-0005

Mailing address

PO Box 708
Prospect, KY 40059-0708
Phone (812) 945-3916

Other identifiers 2

IdentifierTypeStateIssuer
50003493MedicaidKY
80900202MedicaidKY

Other names 1

  • FOOT & ANKLE SPECIALISTS Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL URL

National Provider Directory

National Provider Directory

Locations

3020 Charlestown Xing
New Albany, IN 47150
Phone (812) 948-0211

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1609966159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 708",
            "city": "PROSPECT",
            "state": "KY",
            "postal_code": "400590708",
            "telephone_number": "812-945-3916",
            "fax_number": "812-944-3404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2857 CHARLESTOWN RD STE 300",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471500005",
            "telephone_number": "812-948-0211",
            "fax_number": "812-948-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN PRZYSTAWSKI, DPM, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A",
        "authorized_official_last_name": "PRZYSTAWSKI",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-948-0211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50003493",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80900202",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "URL",
            "affiliation": "N",
            "address_1": "2857 Charlestown Rd Ste 300",
            "city": "New Albany",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471500005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "FOOT & ANKLE SPECIALISTS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FOOT & ANKLE SPECIALISTS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Albany, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.