Foot Clinic of South Carolina, LLC

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

555 Issued in SC

Legal business name

FOOT CLINIC OF SOUTH CAROLINA, LLC

Practice address

211 E Butler Rd
Suite A2
Mauldin, SC 29662-2169

Phone

(864) 281-9171

Fax

(978) 327-7938

NPI assigned

Jan 29, 2007

Last updated

Jan 31, 2011By 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

Dr. Bradley Allen Lindstrom, DPM

Title

Owner

Phone

(864) 281-9171

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Brad Lindstrom DPM Other name

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 5

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.

• Dylan Michael Carlisle

  • Podiatrist
  • Mauldin, SC
  • NPI 1518426295
  Medicare reassignment Care Compare group NPD
• Brad A. Lindstrom, DPM

  • Primary Podiatric Medicine Podiatrist
  • Mauldin, SC
  • NPI 1609850122
  Medicare reassignment Care Compare group NPD
• Torrin Charles Lundberg, DPM

  • Foot & Ankle Surgery Podiatrist
  • Mauldin, SC
  • NPI 1376284505
  Medicare reassignment Care Compare group NPD
• Jamelah Patrice Lemon, DPM

  • Podiatrist
  • Mauldin, SC
  • NPI 1679722912

  Foot Surgery

  Medicare reassignment NPD
• Breelyn Nicole Miles, DPM

  • Podiatrist
  • Ladson, SC
  • NPI 1639664766
  Medicare reassignment NPD

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296432000000",
    "number": "1861538969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E BUTLER RD",
            "address_2": "SUITE A-2",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "296622169",
            "telephone_number": "864-281-9171",
            "fax_number": "864-281-9170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E BUTLER RD",
            "address_2": "SUITE A2",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "296622169",
            "telephone_number": "864-281-9171",
            "fax_number": "978-327-7938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT CLINIC OF SOUTH CAROLINA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2011-01-31",
        "status": "A",
        "authorized_official_last_name": "LINDSTROM",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-281-9171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "SC",
            "license": "555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480033893",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP9936",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brad Lindstrom DPM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Five Forks Hearing Center LLC
• Richard Flaherty
• Mary E Flair
• Judith Fofung, RPH
• Foot Clinic of South Carolina, LLC (Foot Clinic of SC)
• Melissa Forster, PHARM.D,
• Ashley Franks, M.ED., LPC
• Reena C Freeman, PSY.D.
• Friendship Dental LLC (Mauldin Square Dental)
• Zachary Joseph Fuchs, PA

• Foot Surgery Podiatrist in Mauldin, SC
• Providers in Mauldin, SC by specialty
• Foot Surgery Podiatrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.