CROFTON PODIATRY
NPI 1972171411
Podiatrist - Foot & Ankle Surgery in Crofton, MD

Active since June 11, 2021
1657 CROFTON BLVD STE 201, CROFTON, MD 21114(410) 721-4505 Get Directions Write a Review

NPPES record last updated: November 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 5, 2021, Jun 11, 2021 (2 updates tracked since 2021).

About Crofton Podiatry NPPES

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

CROFTON PODIATRY (NPI 1972171411) is a healthcare organization registered as a foot & ankle surgery in Crofton, Maryland and active in the NPI registry since June 2021. The organization maintains a secondary practice location in Crofton and lists Vincent Joseph Bonini, Owner, as its authorized official.

NPPES Registry Identity

NPI1972171411
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NamePOTOMAC PODIATRY PLLC
Location Address1657 CROFTON BLVD STE 201Crofton, MD 21114-1352
Mailing Address14010 Smoketown Rd Ste 103Woodbridge, VA 22192-4723 · (703) 583-5959 · Fax (703) 583-5995
Organization SubpartYes
Authorized OfficialVincent Joseph BoniniOwner · (301) 200-3040
Enumeration DateJune 11, 2021
Last NPPES UpdateNovember 5, 20212 updates tracked since enumeration
NPPES CertifiedNovember 5, 2021
NPI 1972171411 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
1657 CROFTON BLVD STE 201, Crofton, MD 21114

Other Names 1

Other NameCrofton Podiatry

Secondary Practice Location 1

Location 12411 Crofton Ln Ste 25Crofton, MD 21114-1304 · Phone (410) 721-4505

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 & Ankle Surgery)
1657 CROFTON BLVD STE 201
CROFTON, MD 21114

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 Potomac Podiatry PLLC's NPI number?

The NPI number for Potomac Podiatry PLLC is 1972171411. It was assigned to this organization in the NPPES registry on June 11, 2021. The provider is also known as Crofton Podiatry.

Where is Potomac Podiatry PLLC located?

Potomac Podiatry PLLC is located at 1657 Crofton Blvd Ste 201, Crofton, MD 21114. The listed phone number is (410) 721-4505.

What is Potomac Podiatry PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Potomac Podiatry PLLC was last updated on November 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.