SOUTHEAST PODIATRY PC


Address: 610 Douglas Ave, Brewton, AL 36426-1812
Phone: 8005989527

SOUTHEAST PODIATRY PC (NPI# 1023455102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023455102
Entity Type Organization
Organization Name SOUTHEAST PODIATRY PC
Practice Address 610 Douglas Ave
Brewton
AL 36426-1812
Mailing Address 23937 Us Highway 98
Suite 1
Fairhope
AL 36532-3353
Practice Telephone 8005989527
Mailing Telephone 2519286768
Enumeration Date 2013-05-29
Last Update Date 2013-11-01
Authorized Official Name BRENT M HARWOOD (OWNER)
Authorized Official Telephone 2519286768
Authorized Official Credential DPM
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213EP1101X Podiatrist
Specialization: Primary Podiatric Medicine
Podiatric Medicine & Surgery Service Providers

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1003253188 Southeast Podiatry PC Podiatrist 1318 S Main St, Atmore, AL 36502-2834 2013-05-29
1467536763 Southeast Podiatry PC Podiatrist 23937 Us Hwy 98 Ste 1, Fairhope, AL 36532 2006-10-24

Office Location

Street Address 610 DOUGLAS AVE
City BREWTON
State AL
Zip Code 36426-1812

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013430214 Rural Urgent Care LLC Clinic/Center 2134 Douglas Ave, Brewton, AL 36426 2017-07-19
1063958536 Nicole Jones Counselor 1321 Mcmillan Avenue, Ste A, Brewton, AL 36426 2017-01-09
1225284185 Mark Herbert Surles Chiropractor 217 Belleville Ave, Brewton, AL 36426 2008-08-12
1497972061 Reese John Robinson Dentist 102 Mason St, Brewton, AL 36426 2007-04-18
1265543797 James Randall Deatherage Dentist 422 Douglas Avenue, Brewton, AL 36426 2006-08-31
1053389403 Andria P Caldwell Dentist 1115 Azalea Place, Brewton, AL 36426 2006-03-10
1013043637 Shai Tanyette Hall Dentist 1503 Mcmillan Ave, Brewton, AL 36426-1132 2007-02-26
1700067238 Walgreen Co Durable Medical Equipment & Medical Supplies 2040 Douglas Ave, Brewton, AL 36426-1151 2007-11-27
1487265351 Nicole Marie Eagle Pharmacist 2040 Douglas Ave, Brewton, AL 36426-1151 2020-08-13
1154763092 Stacy Miles Pharmacist 2040 Douglas Ave, Brewton, AL 36426-1151 2013-07-19
Find all providers in zip 36426

Taxonomy Information

Taxonomy Code 213EP1101X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Primary Podiatric Medicine

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1336699560 Dr. Barry J. Gould, Podiatry Consultants, LLC- Podiatrist 641 Kings Mountain Rd, Tuscaloosa, AL 35406-2824 2016-10-12
1003253188 Southeast Podiatry PC Podiatrist 1318 S Main St, Atmore, AL 36502-2834 2013-05-29
1467647446 Advanced Foot Care PC Podiatrist 348 Saint Lukes Dr, Montgomery, AL 36117-7108 2007-09-12
1275686305 Hadryan H Vaughn Podiatrist 4709 Woodmere Blvd, Montgomery, AL 36106-3078 2007-01-20
1497819536 Douglas D Stewart Podiatrist 1649 Highway 22 West, Suite One, Alexander City, AL 35010-4412 2006-12-21
1063576494 Anz Gould Investments, Inc. Podiatrist 2818 Lurleen B Wallace Blvd, Northport, AL 35476-3249 2006-12-20
1962572198 Debra D. Morgan Podiatrist 1714 W 3rd St, Montgomery, AL 36106-1506 2006-11-08
1467536763 Southeast Podiatry PC Podiatrist 23937 Us Hwy 98 Ste 1, Fairhope, AL 36532 2006-10-24
1841203957 Brett S Stark Podiatrist 890 N Dean Rd Ste 400, Auburn, AL 36830-9440 2006-08-14
1518993310 Lashonda Moore Podiatrist 220 Fort Dale Rd, Greenville, AL 36037-1502 2006-06-23
Find all providers with the same taxonomy

Competitor

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City BREWTON
Zip Code 36426

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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