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ALTA RIDGE FOOT SPECIALISTS, PLLC
NPI 1124414545
Podiatrist in Boone, NC

Active since April 13, 2015
2211 HIGHWAY 105, BOONE, NC 28607(828) 286-1948(828) 286-1951 Get Directions Write a Review

NPPES record last updated: January 10, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 10, 2020, Sep 29, 2015 (2 updates tracked since 2015).

About Alta Ridge Foot Specialists, Pllc NPPES

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

ALTA RIDGE FOOT SPECIALISTS, PLLC (NPI 1124414545) is a healthcare organization registered as a podiatrist in Boone, North Carolina and active in the NPI registry since April 2015. The organization lists Robert L Van Brederode, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1124414545
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameALTA RIDGE FOOT SPECIALISTS, PLLC
Location Address2211 HIGHWAY 105Boone, NC 28607-7813
Mailing Address440 Altapass HwySpruce Pine, NC 28777-3011 · (828) 766-7667 · Fax (828) 766-7668
Phone(828) 286-1948
Fax(828) 286-1951
Organization SubpartNo
Authorized OfficialRobert L Van BrederodeOwner/provider · (828) 766-7667
Enumeration DateApril 13, 2015
Last NPPES UpdateJanuary 10, 20202 updates tracked since enumeration
✔ NPI 1124414545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
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.
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X
Also ListedPodiatrist · Foot SurgeryTaxonomy 213ES0131X
2211 HIGHWAY 105, Boone, NC 28607
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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 MULTIPLE SINGLE SPECIALTY GROUP

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 Alta Ridge Foot Specialists, PLLC's NPI number?

The NPI number for Alta Ridge Foot Specialists, PLLC is 1124414545. It was assigned to this organization in the NPPES registry on April 13, 2015.

Where is Alta Ridge Foot Specialists, PLLC located?

Alta Ridge Foot Specialists, PLLC is located at 2211 Highway 105, Boone, NC 28607. The listed phone number is (828) 286-1948.

What is Alta Ridge Foot Specialists, PLLC'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 Alta Ridge Foot Specialists, PLLC was last updated on January 10, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.