DR. BENEDICT A PROFERA DPM, MPH
NPI 1356497622
Podiatrist - Primary Podiatric Medicine in Salem, VA
Active since January 26, 2007
About Dr. Benedict A Profera Dpm, Mph NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BENEDICT A PROFERA DPM, MPH (NPI 1356497622) is an individual primary podiatric medicine provider in Salem, Virginia, licensed in Virginia (0103000566) and active in the NPI registry since January 2007.
NPPES Registry Identity
NPI1356497622
Entity TypeIndividualMale
Primary Taxonomy213EP1101X
Provider Legal NameDR. BENEDICT A PROFERACredential: DPM, MPH
Location Address1589 INNSBROOKE DRSalem, VA 24153-1785
Mailing Address1589 Innsbrooke DrSalem, VA 24153-1785 · (540) 389-6267
Phone(540) 389-6267
Sole ProprietorYes
Enumeration DateJanuary 26, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1356497622 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyPodiatrist · Primary Podiatric MedicinePodiatric Medicine & Surgery Service Providers
Taxonomy Code213EP1101X
License✔ Licensed in VA · 0103000566
1589 INNSBROOKE DR, Salem, VA 24153
Other Identifiers 2
Medicaid010265851VA
Medicare ID-Type Unspecified190001354VA
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356497622, enumerated as an "individual" on January 26, 2007.
The provider is located at 1589 INNSBROOKE DR SALEM, VA 24153 and the phone number is (540) 389-6267.
Podiatrist with taxonomy code 213EP1101X and a focus in Primary Podiatric Medicine.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
