EASTERN SHORE FOOT CENTER, P.C.
NPI 1417004656
Podiatrist - Foot Surgery in Daphne, AL

Active since January 03, 2007
1913 US HIGHWAY 98, DAPHNE, AL 36526(251) 626-5065(251) 626-7580 Get Directions Write a Review

NPPES record last updated: November 18, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Eastern Shore Foot Center, P.c. NPPES

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

EASTERN SHORE FOOT CENTER, P.C. (NPI 1417004656) is a healthcare organization registered as a foot surgery in Daphne, Alabama and active in the NPI registry since January 2007. The organization lists Randell Braun, President, as its authorized official.

NPPES Registry Identity

NPI1417004656
Entity TypeOrganization
Primary Taxonomy213ES0131X
Legal Business NameEASTERN SHORE FOOT CENTER, P.C.
Location Address1913 US HIGHWAY 98Daphne, AL 36526-4371
Mailing Address1913 Us Highway 98Daphne, AL 36526-4371 · (251) 626-5065 · Fax (251) 626-7580
Fax(251) 626-7580
Organization SubpartNo
Authorized OfficialRandell BraunPresident · (251) 626-5065
Enumeration DateJanuary 3, 2007
Last NPPES UpdateNovember 18, 2010
NPI 1417004656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0131X
License Licensed in AL · 82
1913 US HIGHWAY 98, Daphne, AL 36526

Other Identifiers 3

Medicare UPINT68866AL
Medicare PIN102G700587AL
Medicare NSC1169070001AL

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

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

Podiatrist (Foot Surgery)
1913 US HIGHWAY 98
DAPHNE, AL 36526

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 Eastern Shore Foot Center, P.C.'s NPI number?

The NPI number for Eastern Shore Foot Center, P.C. is 1417004656. It was assigned to this organization in the NPPES registry on January 3, 2007.

Where is Eastern Shore Foot Center, P.C. located?

Eastern Shore Foot Center, P.C. is located at 1913 Us Highway 98, Daphne, AL 36526. The listed phone number is (251) 626-5065.

What is Eastern Shore Foot Center, P.C.'s specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

When was this NPI record last updated?

The NPPES record for Eastern Shore Foot Center, P.C. was last updated on November 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.