BANGOR PODIATRY OF BRODHEADSVILLE
NPI 1972996189
Podiatrist - Foot & Ankle Surgery in Gilbert, PA

Active since March 12, 2015
1310 ROUTE 209 STE 107, GILBERT, PA 18331(570) 992-5779(570) 992-5806 Get Directions Write a Review

NPPES record last updated: November 15, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bangor Podiatry Of Brodheadsville NPPES

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

BANGOR PODIATRY OF BRODHEADSVILLE (NPI 1972996189) is a healthcare organization registered as a foot & ankle surgery in Gilbert, Pennsylvania and active in the NPI registry since March 2015. The organization lists Cheralyn Perkins, Owner, as its authorized official.

NPPES Registry Identity

NPI1972996189
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameBANGOR PODIATRY LLC
Location Address1310 ROUTE 209 STE 107Gilbert, PA 18331-7751
Mailing Address129 N 11th StBangor, PA 18013-1603 · (610) 588-6621 · Fax (610) 588-6307
Fax(570) 992-5806
Organization SubpartYes
Authorized OfficialCheralyn PerkinsOwner · (610) 588-6621
Enumeration DateMarch 12, 2015
Last NPPES UpdateNovember 15, 2024
NPPES CertifiedNovember 15, 2024
NPI 1972996189 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 PA · SC004468L
1310 ROUTE 209 STE 107, Gilbert, PA 18331

Other Names 1

Other NameBangor Podiatry Of Brodheadsville

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

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 Bangor Podiatry LLC's NPI number?

The NPI number for Bangor Podiatry LLC is 1972996189. It was assigned to this organization in the NPPES registry on March 12, 2015. The provider is also known as Bangor Podiatry Of Brodheadsville.

Where is Bangor Podiatry LLC located?

Bangor Podiatry LLC is located at 1310 Route 209 Ste 107, Gilbert, PA 18331. The listed phone number is (570) 992-5779.

What is Bangor Podiatry LLC'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 Bangor Podiatry LLC was last updated on November 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.