Organization Active NPI

Bridgeville Foot and Ankle Center, PC

  • Foot Surgery Podiatrist
  • Bridgeville, PA
National Provider Identifier
1912348277
Registry record updated Jul 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
SC005506 Issued in PA
Legal business name
BRIDGEVILLE FOOT AND ANKLE CENTER, PC
Practice address
510 Station St
Bridgeville, PA 15017-2046
Phone
(412) 221-2241
Fax
(412) 221-2243
NPI assigned
Jul 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2013

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

Authorized official

Name
Dr. Tony J Albertelli, D.P.M.NPI 1235192519
Title
Owner
Phone
(412) 221-2241

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X SC005506 PA Primary

Addresses

Primary practice location

510 Station St
Bridgeville, PA 15017-2046

Mailing address

510 Station St
Bridgeville, PA 15017-2046
Phone (412) 221-2241

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140422000331 PA Part B Supplier - Clinic/Group Practice 3375775570 Receives reassigned benefits from 1 practitioner
Practice locations: Bridgeville, PA

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.

NPI Registry JSON

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373846400000",
    "number": "1912348277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 STATION ST",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150172046",
            "telephone_number": "412-221-2241",
            "fax_number": "412-221-2243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 STATION ST",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150172046",
            "telephone_number": "412-221-2241",
            "fax_number": "412-221-2243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEVILLE FOOT AND ANKLE CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-15",
        "last_updated": "2013-07-15",
        "status": "A",
        "authorized_official_last_name": "ALBERTELLI",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-221-2241",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "PA",
            "license": "SC005506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; 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.