PENINSULA PODIATRY LLC
NPI 1255425088
Podiatrist in Sturgeon Bay, WI

Active since October 03, 2006
BLDG 4 2, 30 NORTH 18TH AVENUE, STURGEON BAY, WI 54235(920) 743-6668(920) 743-9222 Get Directions Write a Review

NPPES record last updated: February 5, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Peninsula Podiatry Llc NPPES

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

PENINSULA PODIATRY LLC (NPI 1255425088) is a healthcare organization registered as a podiatrist in Sturgeon Bay, Wisconsin and active in the NPI registry since October 2006. The organization lists Bradley Gerard Burkart, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1255425088
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NamePENINSULA PODIATRY LLC
Location AddressBLDG 4 2, 30 NORTH 18TH AVENUESturgeon Bay, WI 54235-3207
Mailing AddressBldg 4 2, 30 North 18th AvenueSturgeon Bay, WI 54235-3207 · (920) 743-6668 · Fax (920) 743-9222
Fax(920) 743-9222
Organization SubpartNo
Authorized OfficialBradley Gerard BurkartManaging Partner · (920) 743-6668
Enumeration DateOctober 3, 2006
Last NPPES UpdateFebruary 5, 2008
NPI 1255425088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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 ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
BLDG 4 2, Sturgeon Bay, WI 54235

Other Identifiers 3

Medicare NSC5377870001WI
Medicaid43267300WI
Medicare PIN82460WI

Accepted Insurance

Other Providers at the Same Location NPPES

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

Podiatrist
BLDG 4 2, 30 NORTH 18TH AVENUE
STURGEON BAY, WI 54235

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 Peninsula Podiatry LLC's NPI number?

The NPI number for Peninsula Podiatry LLC is 1255425088. It was assigned to this organization in the NPPES registry on October 3, 2006.

Where is Peninsula Podiatry LLC located?

Peninsula Podiatry LLC is located at Bldg 4 2 30 North 18th Avenue, Sturgeon Bay, WI 54235. The listed phone number is (920) 743-6668.

What is Peninsula Podiatry LLC's specialty?

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

What insurance does Peninsula Podiatry LLC accept?

Health plans from CareSource (Common Ground Healthcare) list Peninsula Podiatry LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Peninsula Podiatry LLC was last updated on February 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.