BROOKDALE FOOT CLINIC LLC
NPI 1346651536
Podiatrist in Statesville, NC

Q: What is Brookdale Foot Clinic LLC's NPI number?

The NPI number for Brookdale Foot Clinic LLC is 1346651536. It was assigned to this organization in the NPPES registry on May 10, 2014.

Q: What is Brookdale Foot Clinic LLC's specialty?

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

Active since May 10, 2014

533 BROOKDALE DR, STATESVILLE, NC 28677(336) 618-6961(336) 793-3051 Get Directions Write a Review

NPPES record last updated: May 10, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Brookdale Foot Clinic Llc NPPES

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

BROOKDALE FOOT CLINIC LLC (NPI 1346651536) is a healthcare organization registered as a podiatrist in Statesville, North Carolina and active in the NPI registry since May 2014. The organization lists George Vito, Member, as its authorized official.

NPPES Registry Identity

NPI1346651536

Entity TypeOrganization

Primary Taxonomy213E00000X

Legal Business NameBROOKDALE FOOT CLINIC LLC

Location Address533 BROOKDALE DRStatesville, NC 28677-4107

Mailing AddressPo Box 24561Winston Salem, NC 27114-4561 · (336) 618-6961 · Fax (336) 793-3051

Phone(336) 618-6961

Fax(336) 793-3051

Organization SubpartNo

Authorized OfficialGeorge VitoMember · (336) 618-6961

Enumeration DateMay 10, 2014

✔ NPI 1346651536 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 NC · 330

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.

533 BROOKDALE DR, Statesville, NC 28677

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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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

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