BK Podiatry Centers, LLC
Organization Active NPI Durable Medical Equipment & Medical Supplies · Webster GRVS, MO
NPI 1851987457 · NPPES record last updated Jan 4, 2021
Key facts
- NPI
- 1851987457
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- BK PODIATRY CENTERS, LLC
- Practice address
- 7509 Big Bend Blvd
Webster GRVS, MO 63119-2103 - Phone
- (314) 961-3113
- Fax
- (314) 968-7529
- NPI assigned
- Dec 17, 2020
- Organization subpart
- No
Authorized official
- Name
- Melinda G Judge
- Title
- Manager
- Phone
- (314) 837-8477
Other NPIs with the same Medicare PAC ID 3
Corporate family (same tax ID) 3
Practitioners 4
-
Brian G Broadhead, D.P.M.
-
Karl B Collins, D.P.M.
-
Erica L Torgrude, DPM
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210325000488 | MO | DME Supplier - Physician - Podiatry | 0749505220 | Practice locations: Webster GRVS, MO |
National Provider Directory
- Tax ID family
- BK Podiatry Centers LLC
Locations
111 Florissant Oaks Shop Ctr
Florissant, MO 63031
Phone (314) 834-8477
1995 Zumbehl Rd
Saint Charles, MO 63303
Phone (314) 837-8477
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
7509 Big Bend Blvd
Webster GRVS, MO 63119-2103
Mailing address
111 Florissant Oaks Shop Ctr
Florissant, MO 63031-3933
Phone (314) 837-8477
Other providers in Webster GRVS, MO
All providers in Webster GRVS, MO · Durable Medical Equipment & Medical Supplies in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.