1. Home
  2. Directory
  3. Missouri
  4. Bolivar
  5. Podiatrist
  6. NPI Profile

REGIONAL FOOT AND ANKLE, LLC
NPI 1417113176
Podiatrist - Foot & Ankle Surgery in Bolivar, MO

Active since August 01, 2008
785 E DRAKE ST, BOLIVAR, MO 65613(417) 326-6200(417) 777-7463 Get Directions Write a Review

NPPES record last updated: September 24, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Regional Foot And Ankle, Llc NPPES

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

REGIONAL FOOT AND ANKLE, LLC (NPI 1417113176) is a healthcare organization registered as a foot & ankle surgery in Bolivar, Missouri and active in the NPI registry since August 2008. The organization lists Matt Clayton Garrison, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1417113176
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameREGIONAL FOOT AND ANKLE, LLC
Location Address785 E DRAKE STBolivar, MO 65613-2739
Mailing Address785 E Drake StBolivar, MO 65613-2739 · (417) 326-6200 · Fax (417) 777-7463
Phone(417) 326-6200
Fax(417) 777-7463
Organization SubpartNo
Authorized OfficialMatt Clayton GarrisonCo-owner · (417) 326-6200
Enumeration DateAugust 1, 2008
Last NPPES UpdateSeptember 24, 2009
✔ NPI 1417113176 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 · 2005017337
785 E DRAKE ST, Bolivar, MO 65613
Open in Google Maps ↗

Other Identifiers 3

Medicaid307420505MO
Medicare NSC6213320001MO
Medicare UPINVO7560MO

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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.

ALPHA-OMEGA ORTHOTICS & PROSTHETICS, INC.
Prosthetic/Orthotic Supplier
785 E DRAKE ST
BOLIVAR, MO 65613
Polk County (417) 886-8881

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 Regional Foot And Ankle, LLC's NPI number?

The NPI number for Regional Foot And Ankle, LLC is 1417113176. It was assigned to this organization in the NPPES registry on August 1, 2008.

Where is Regional Foot And Ankle, LLC located?

Regional Foot And Ankle, LLC is located at 785 E Drake St, Bolivar, MO 65613. The listed phone number is (417) 326-6200.

What is Regional Foot And Ankle, LLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

What insurance does Regional Foot And Ankle, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Regional Foot And Ankle, 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 Regional Foot And Ankle, LLC was last updated on September 24, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.