Organization Active NPI

Brandywine Podiatry PA

  • Durable Medical Equipment & Medical Supplies
  • Middletown, DE
National Provider Identifier
1902279623
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
BRANDYWINE PODIATRY PA
Practice address
118 Sandhill Dr Ste 204
Middletown, DE 19709-5859
Phone
(302) 378-1022
NPI assigned
Nov 3, 2015
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Christopher Leigh Savage, DPMNPI 1376638601
Title
President Owner
Phone
(302) 658-1129

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X DE Primary

Addresses

Primary practice location

118 Sandhill Dr Ste 204
Middletown, DE 19709-5859

Mailing address

1010 N Bancroft Pkwy
Ste 12
Wilmington, DE 19805-2690
Phone (302) 658-1129

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160705001102 DE DME Supplier - Physician - Podiatry 5597700682 Practice locations: Middletown, DE

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1446508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1902279623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 N BANCROFT PKWY",
            "address_2": "STE 12",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198052690",
            "telephone_number": "302-658-1129",
            "fax_number": "302-658-7646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 SANDHILL DR STE 204",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197095859",
            "telephone_number": "302-378-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDYWINE PODIATRY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-03",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SAVAGE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "302-658-1129",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "DE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.