Breck Laudenberger, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

01419 Issued in MD

Practice address

205 E Main St
Elkton, MD 21921-5779

Phone

(410) 398-6576

NPI assigned

Jul 29, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Elkton Foot and Ankle Center, PA

  • Foot & Ankle Surgery Podiatrist
  • Elkton, MD
  • NPI 1669730537
  Authorized official Same address or phone
• Elkton Foot and Ankle Center, PA

  • Foot & Ankle Surgery Podiatrist
  • Elkton, MD
  • NPI 1699983924
  NPD (past) Authorized official

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544054400000",
    "number": "1881694966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E MAIN ST",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215779",
            "telephone_number": "410-398-6576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E MAIN ST",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215779",
            "telephone_number": "410-398-6576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "273 Mackall St",
            "address_purpose": "LOCATION",
            "city": "Elkton",
            "state": "MD",
            "postal_code": "219215258",
            "country_code": "US",
            "telephone_number": "410-398-6576",
            "fax_number": "410-398-8241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAUDENBERGER",
        "first_name": "BRECK",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2018-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "01419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0030597",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "196022900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nina C. Lane, NP
• Sarah Renee Langley, LCPC
• Ashley Lankford, MS, OTR/L
• Rebecca Sutton Larson, LCSW-C
• Michael Stephen Latsch
• Laurel Leasing Co., LLC (Laurelwood Healthcare Center)
• Laurelwood Nursing and Rehab Center LLC (Laurelwood Healthcare Center)
• Douglas Lavenburg, MD
• Kathleen Lester Lechette, PT
• Helene Lee, M.D.

• Podiatrist in Elkton, MD
• Providers in Elkton, MD by specialty
• Podiatrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; 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.