Dr Mark a Gotfryd PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

00109 Issued in AL

Legal business name

DR MARK A GOTFRYD PC

Practice address

1703 Center Point Pkwy
Birmingham, AL 35215-5505

Phone

(205) 853-7878

Fax

(205) 853-8272

NPI assigned

Nov 27, 2006

Last updated

Feb 1, 2008By 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. Mark Gotfryd, DPMNPI 1780795781

Title

President

Phone

(205) 853-7878

Specialties & licenses 2

Addresses

Other names 1

• Mark A Gotfryd DPM PC Former legal business name

Locations

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.

• Mark A Gotfryd, D.P.M.

  • Podiatrist
  • Birmingham, AL
  • NPI 1780795781
  Authorized official Same address or phone

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1902972607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 CENTER POINT PKWY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352155505",
            "telephone_number": "205-853-7878",
            "fax_number": "205-853-8272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 CENTER POINT PKWY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352155505",
            "telephone_number": "205-853-7878",
            "fax_number": "205-853-8272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MARK A GOTFRYD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "GOTFRYD",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-853-7878",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AL",
            "license": "00109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mark A Gotfryd DPM PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Podiatrist in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Podiatrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; 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.