Blue Ridge Foot and Ankle, LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

BLUE RIDGE FOOT AND ANKLE, LLC

Practice address

5 Winchester CT
Mauldin, SC 29662-2626

Phone

(864) 297-6616

NPI assigned

Jun 19, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Schipper

Title

Managing Partner

Phone

(864) 884-9252

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC2 enrollments

Enrollment records 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sarah McCurdy Schipper

  • Primary Podiatric Medicine Podiatrist
  • Greenville, SC
  • NPI 1487811337
  Medicare reassignment NPD

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692662400000",
    "number": "1972288926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 AFTON AVE",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296014302",
            "telephone_number": "864-884-9252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 WINCHESTER CT",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "296622626",
            "telephone_number": "864-297-6616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE FOOT AND ANKLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHIPPER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "864-884-9252",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bennefield & Associates, LLC
• Michele Blackwell Bennefield, M.S., LPC
• Jennifer S Bertram, OT
• Marija Betejeva, PHARMD
• Laura Black
• Devan Scott Bolf, DMD
• Marie Rose Bonabon, M.D.
• Margaret Bongiovanni
• Sara Borkosky, D.P.M.
• Gwendolyn Barton Bozeman, M.A., B.S.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.