1. Home
  2. Directory
  3. Indiana
  4. Gary
  5. Podiatrist
  6. NPI Profile

BROADWAY FOOT CLINIC CORPORATION
NPI 1073510244
Podiatrist in Gary, IN

Active since July 03, 2005
3290 GRANT ST, SUITE 108, GARY, IN 46408(219) 884-7880(219) 884-7880 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Broadway Foot Clinic Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROADWAY FOOT CLINIC CORPORATION (NPI 1073510244) is a healthcare organization registered as a podiatrist in Gary, Indiana and active in the NPI registry since July 2005. The organization lists Sonny O Ojikutu, Vice President, as its authorized official.

NPPES Registry Identity

NPI1073510244
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameBROADWAY FOOT CLINIC CORPORATION
Location Address3290 GRANT ST, SUITE 108Gary, IN 46408-1015
Mailing Address3290 Grant St, Suite 108Gary, IN 46408-1015 · (219) 884-7880 · Fax (219) 884-7880
Phone(219) 884-7880
Fax(219) 884-7880
Organization SubpartNo
Authorized OfficialSonny O OjikutuVice President · (219) 884-7880
Enumeration DateJuly 3, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1073510244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in IN · 07000445A
Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

3290 GRANT ST, Gary, IN 46408
Open in Google Maps ↗

Other Identifiers 1

Medicaid10058560IN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EVEREST HEALTHCARE INDIANA, INC.
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
3290 GRANT ST
GARY, IN 46408
Lake County (219) 980-2860
FRESENIUS MEDICAL CARE NW INDIANA, LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
3290 GRANT ST
GARY, IN 46408
Lake County (219) 980-2860

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Broadway Foot Clinic Corporation's NPI number?

The NPI number for Broadway Foot Clinic Corporation is 1073510244. It was assigned to this organization in the NPPES registry on July 3, 2005.

Where is Broadway Foot Clinic Corporation located?

Broadway Foot Clinic Corporation is located at 3290 Grant St Suite 108, Gary, IN 46408. The listed phone number is (219) 884-7880.

What is Broadway Foot Clinic Corporation's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Broadway Foot Clinic Corporation was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.