Organization Active NPI

Southeastern Family Foot Care, LLC

  • Foot Surgery Podiatrist
  • Montgomery, AL
National Provider Identifier
1770018491
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
Legal business name
SOUTHEASTERN FAMILY FOOT CARE, LLC
Practice address
461 Cotton Gin Rd
Montgomery, AL 36117-3558
Phone
(334) 557-0900
Fax
(334) 557-0901
NPI assigned
May 1, 2017
Last updated
Jul 2, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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

Authorized official

Name
Dr. Troy David ZimbelmanNPI 1568528396
Title
DPM/Owner
Phone
(334) 358-8666

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)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X Primary

Addresses

Primary practice location

461 Cotton Gin Rd
Montgomery, AL 36117-3558

Mailing address

461 Cotton Gin Rd
Montgomery, AL 36117-3558
Phone (334) 557-0900

Other practice location 1

107 E Watts St
Enterprise, AL 36330-2511
Phone (334) 489-4203

National Provider Directory

National Provider Directory

Locations

461 Cotton Gin Rd
Montgomery, AL 36117
Phone (334) 557-0900

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.

NPI Registry JSON

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

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562025600000",
    "number": "1770018491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 COTTON GIN RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173558",
            "telephone_number": "334-557-0900",
            "fax_number": "334-557-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 COTTON GIN RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173558",
            "telephone_number": "334-557-0900",
            "fax_number": "334-557-0901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 E Watts St",
            "address_purpose": "LOCATION",
            "city": "Enterprise",
            "state": "AL",
            "postal_code": "363302511",
            "country_code": "US",
            "telephone_number": "334-489-4203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHEASTERN FAMILY FOOT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-01",
        "last_updated": "2019-07-02",
        "status": "A",
        "authorized_official_last_name": "ZIMBELMAN",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "DPM/OWNER",
        "authorized_official_telephone_number": "334-358-8666",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; 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.