JULIA DAFFORN
NPI 1235868860
Podiatrist - Foot & Ankle Surgery in Bridgeton, MO

Q: What is the provider's specialty?

The provider's specialty is Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.

Active since June 08, 2022PECOS Enrolled

12255 DEPAUL DRIVE, STE 705, BRIDGETON, MO 63044(314) 344-7545 Get Directions Write a Review

NPPES record last updated: June 8, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Julia Dafforn NPPES

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

JULIA DAFFORN (NPI 1235868860) is an individual foot & ankle surgery provider in Bridgeton, Missouri, licensed in Missouri (213ES0103X) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Brideton, and is a graduate of William M. Scholl College Of Podiatric Medicine (2022).

NPPES Registry Identity

NPI1235868860

Entity TypeIndividualFemale

Primary Taxonomy213ES0103X

Provider Legal NameJULIA DAFFORN

Location Address12255 DEPAUL DRIVE, STE 705Bridgeton, MO 63044

Mailing Address138 Hemstead StLake Bluff, IL 60044-1155 · (760) 662-1292

Phone(314) 344-7545

Sole ProprietorNo

Medical School CMSWilliam M. Scholl College Of Podiatric MedicineGraduated 2022

Enumeration DateJune 8, 2022

NPPES CertifiedApril 3, 2022

✔ NPI 1235868860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

License✔ Licensed in MO · 213ES0103X

12255 DEPAUL DRIVE, Bridgeton, MO 63044

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Secondary Practice Location 1

Location 112303 depaul drivebrideton, MO 63044 · Phone (314) 344-7545

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Julia Dafforn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3476042367

PECOS Enrollment IDI20251030002726

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.