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Brandywine Foot Care

Podiatrist, Foot & Ankle Surgery in Wilmington, DE. Organization (NPI-2).

NPI number1871663385
StatusActive
Last updated in NPPESSep 28, 2007

Details

NPI
1871663385
Entity type
Organization (NPI-2)
Legal business name
Brandywine Foot Care
Organization subpart
No
Enumeration date
Nov 9, 2006
Last updated
Sep 28, 2007

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213ES0103X Podiatrist, Foot & Ankle Surgerye-10000088DEYes

Practice location

2106 Silverside Rd
Wilmington, DE 19810-4162

Phone 302-478-8099 · Fax 302-478-8717

Mailing address

2106 Silverside Rd
Wilmington, DE 19810-4162

Phone 302-478-8099 · Fax 302-478-8717

Authorized official

Lori E Larue
Owner
3024788099

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Foot & Ankle Surgery Podiatrist providers in Wilmington, DE

All 16 Foot & Ankle Surgery Podiatrist providers in Wilmington · All 8,243 providers in Wilmington

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