Organization Active NPI

Fairfax Oakton Foot Center LTD

  • Foot & Ankle Surgery Podiatrist
  • Warrenton, VA
National Provider Identifier
1780866210
Registry record updated Sep 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
01030000604 Issued in VA
Legal business name
FAIRFAX OAKTON FOOT CENTER LTD
Practice address
400B Hospital Dr
Warrenton, VA 20186-3026
Phone
(540) 347-1370
Fax
(540) 349-4801
NPI assigned
Nov 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2010

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

Authorized official

Name
Dr. Brian Robert Bunt, DPMNPI 1730165218
Title
President
Phone
(540) 347-1370

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 & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 01030000604 VA Primary

Addresses

Primary practice location

400B Hospital Dr
Warrenton, VA 20186-3026

Mailing address

400B Hospital Dr
Warrenton, VA 20186-3026
Phone (540) 347-1370

Other identifiers 1

IdentifierTypeStateIssuer
009302166MedicaidVA

Other names 1

  • T/A FAUQUIER FOOT HEALTH CTR LTD Doing business as

National Provider Directory

National Provider Directory

Locations

400B Hospital Dr
Warrenton, VA 20186
Phone (540) 347-1370

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283817600000",
    "number": "1780866210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400B HOSPITAL DR",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201863026",
            "telephone_number": "540-347-1370",
            "fax_number": "540-349-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400B HOSPITAL DR",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201863026",
            "telephone_number": "540-347-1370",
            "fax_number": "540-349-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFAX OAKTON FOOT CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-27",
        "last_updated": "2010-09-07",
        "status": "A",
        "authorized_official_last_name": "BUNT",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-347-1370",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "01030000604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009302166",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "T/A FAUQUIER FOOT HEALTH CTR LTD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warrenton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2010; 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.