Foggy Bottom Primary Care Physicians LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

FOGGY BOTTOM PRIMARY CARE PHYSICIANS LLC

Practice address

367 S Gulph Rd
King of Prussia, PA 19406-3121

Phone

(610) 382-4422

NPI assigned

Oct 24, 2025

Last updated

Oct 24, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Todd Evans

Title

VP

Phone

(610) 382-4422

Specialties & licenses 3

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Foggy Bottom Physician Group Inc.

  • Multi-Specialty Clinic/Center
  • Washington, DC
  • NPI 1831089846

  Member Of

  NPD member

Practitioners 1

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.

• Bruno Petinaux, MD

  • Emergency Medicine Physician
  • Washington, DC
  • NPI 1558347930
  NPD

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

{
    "created_epoch": "1761264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761264000000",
    "number": "1780552588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 S GULPH RD",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194063121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "367 S GULPH RD",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194063121",
            "telephone_number": "610-382-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOGGY BOTTOM PRIMARY CARE PHYSICIANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-24",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "610-382-4422"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Ann Flood, LPC
• Brian Flynn, CRNA
• Julie Elizabeth Foeldes, PSY.D.
• Emily Joye Foerst, CRNP
• Foggy Bottom Hospital Physicians LLC
• Sophia Fokas
• William Charles Folks, LCSW
• For Eyes Optical of PA
• Shanelle Ford, MA, LAPC
• Jennifer Forgit

• Internal Medicine Physician in King of Prussia, PA
• Providers in King of Prussia, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; 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.