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TIDEWATER FOOT & ANKLE CENTER, PC
NPI 1497813158
Podiatrist - Foot & Ankle Surgery in Virginia Beach, VA

Active since December 05, 2006
760 INDEPENDENCE BLVD, VIRGINIA BEACH, VA 23455(757) 497-7575 Get Directions Write a Review

NPPES record last updated: May 13, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Tidewater Foot & Ankle Center, Pc NPPES

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

TIDEWATER FOOT & ANKLE CENTER, PC (NPI 1497813158) is a healthcare organization registered as a foot & ankle surgery in Virginia Beach, Virginia and active in the NPI registry since December 2006. The organization lists William P. Grant, Owner, as its authorized official.

NPPES Registry Identity

NPI1497813158
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameTIDEWATER FOOT & ANKLE CENTER, PC
Location Address760 INDEPENDENCE BLVDVirginia Beach, VA 23455-6206
Mailing AddressPo Box 55350Virginia Beach, VA 23471-9350 · (757) 497-7575
Phone(757) 497-7575
Organization SubpartNo
Authorized OfficialWilliam P. GrantOwner · (757) 497-7575
Enumeration DateDecember 5, 2006
Last NPPES UpdateMay 13, 2009
✔ NPI 1497813158 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
760 INDEPENDENCE BLVD, Virginia Beach, VA 23455
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Other Identifiers 5

Medicare NSC0574290001VA
Medicaid9301658VA
Medicare PINC02490VA
Other480000051VA · Medicare Id
Medicare UPINT21968VA

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

MR. MARK L BAWCOM DC
Chiropractor
760 INDEPENDENCE BLVD, BAWCOM CHIROPRACTIC CLINIC
VIRGINIA BEACH, VA 23455
Virginia Beach City (757) 490-7911
WILLIAM P GRANT D.P.M.
Podiatrist (Foot & Ankle Surgery)
760 INDEPENDENCE BLVD, SUITE 1
VIRGINIA BEACH, VA 23455
Virginia Beach City (757) 497-7575

Frequently Asked Questions

What is TIDEWATER FOOT & ANKLE CENTER, PC's NPI number?

The NPI number assigned to this healthcare provider is 1497813158, enumerated as an "organization" on December 05, 2006.

Where is the provider located?

The provider is located at 760 INDEPENDENCE BLVD VIRGINIA BEACH, VA 23455 and the phone number is (757) 497-7575.

What is the provider's specialty?

Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.

What insurance does TIDEWATER FOOT & ANKLE CENTER, PC accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.