DR. BRIAN LARRY FREEMAN (NPI# 1164743720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164743720 |
Entity Type | Individual |
Full Name | DR. BRIAN LARRY FREEMAN |
Credential | D.P.M. |
Practice Address |
1100 Goethals Drive 2nd Floor Kadlec Clinic Foot & Ankle Richland WA 99352-3304 |
Mailing Address |
780 Swift Blvd Ste 220 Richland WA 99352-3524 |
Practice Telephone | 5099423627 |
Practice Fax Number | 5095470827 |
Mailing Telephone | 5099423627 |
Mailing Fax Number | 5096272983 |
Enumeration Date | 2010-06-17 |
Last Update Date | 2018-03-21 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213E00000X | Podiatrist | PO60337485 | WA | Podiatric Medicine & Surgery Service Providers |
N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
213ES0103X | OH | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 1164743720 | 05 | |
WA | L&I | 0312593 | 01 |
OR | 500657140 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407183601 | Brian J Freeman | Dentist | 7175 N Durango Dr, Suite 150, Las Vegas, NV 89149-4479 | 2009-11-09 |
1407070964 | Brian J Freeman | Psychiatry & Neurology | 890 Winter St, Ste.320, Waltham, MA 02451-1470 | 2007-04-13 |
1225141609 | Brian P Freeman | Internal Medicine | 1221 Pleasant St., Suite 100, Des Moinse, IA 50309 | 2006-08-17 |
1811420433 | Brian Freeman | Student in an Organized Health Care Education/Training Program | 1234 Napier Ave, Saint Joseph, MI 49085-2112 | 2017-04-10 |
1861946501 | Brian Freeman | Counselor | 3135 Euclid Ave, Suite 202, Cleveland, OH 44115-2531 | 2016-08-11 |
1215279237 | Brian Andrew Freeman | Family Medicine | 582 Blue Ridge Ave, Bedford, VA 24523-2604 | 2013-03-18 |
1164733705 | Brian Michael Freeman | Surgery | 701 Grove Rd, Greenville, SC 29605-4210 | 2010-06-29 |
1215254636 | Brian D Freeman | Pharmacist | 200 Tuckerton Rd, Medford, NJ 08055-8806 | 2010-04-24 |
1154558674 | Brian Lee Freeman | Emergency Medicine | 12300 Metcalf Ave, Overland Park, KS 66213-1324 | 2009-06-11 |
1174647960 | Brian Lee Freeman | Pharmacist | 1706 S Cannon Blvd, Kannapolis, NC 28083-6104 | 2007-03-18 |
Street Address |
1100 GOETHALS DRIVE 2ND FLOOR KADLEC CLINIC FOOT & ANKLE |
City | RICHLAND |
State | WA |
Zip Code | 99352-3304 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033169925 | Rodney Allan Graves | Podiatrist | 1100 Goethals Drive 2nd Floor, Kadlec Clinic Foot & Ankle, Richland, WA 99352-3304 | 2006-05-11 |
1952572174 | Brandon Blaine Bunnage | Surgery | 1100 Goethals Drive 2nd Floor, Kadlec Clinic General & Colorectal Surgery, Richland, WA 99352-3304 | 2008-03-14 |
1508966581 | Philip G Smith | Surgery | 1100 Goethals Drive 2nd Floor, Kadlec Clinic General & Colorectal Surgery, Richland, WA 99352-3304 | 2006-09-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326683053 | Thrive On Counseling, LLC | Counselor | 718 Jadwin Avenue, Richland, WA 99352 | 2019-11-18 |
1225687650 | Tri-cities Marital and Family Therapy | Marriage & Family Therapist | 925 Stevens Dr., Suite 3a, Richland, WA 99352 | 2019-09-09 |
1053966754 | Darla Nicole Carpenter-sams | Social Worker | 845 Stevens Suite 3a, Richland, WA 99352 | 2019-08-08 |
1538720735 | Compass Home Health Care | Home Health | 4281 Tigar Lane, Richland, WA 99352 | 2019-06-27 |
1164089934 | Tri-city Orthodontics, LLC | Dentist | 3200 Duportail St, Ste 203, Richland, WA 99352 | 2019-05-28 |
1760956361 | Behavior Treatment Solutions LLC | Behavioral Analyst | 403 Adams St, Richland, WA 99352 | 2019-01-16 |
1528566981 | Rxltc, Pllc | Pharmacy | 969 Stevens Dr Ste 1b, Richland, WA 99352 | 2018-01-31 |
1154829992 | Jason Brody Anderson | Registered Nurse | 888 Swift Blvd # 180, Richland, WA 99352 | 2018-01-26 |
1093247355 | Anderson Mcgilliard | Physical Therapist | 875 Gage Blvd, Richland, WA 99352 | 2017-03-28 |
1871042689 | Jennifer Bramhall | Nurse Practitioner | 1100 Goethals Drive Suite F, Kadlec Inland Cardiology, Richland, WA 99352 | 2016-09-22 |
Find all providers in zip 99352 |
Taxonomy Code | 213E00000X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720202039 | Douglas K Murdock Dpm PC | Podiatrist | 780 Swift Blvd Ste 100, Richland, WA 99352-3545 | 2007-04-11 |
1073553327 | Richland Podiatry PC | Podiatrist | 8992 E D Ave, Richland, MI 49083 | 2006-06-07 |
1558401398 | Darian Jerald Vangorkum | Podiatrist | 750 Swift Blvd, Ste 2, Richland, WA 99352 | 2007-02-08 |
1619068772 | Douglas K Murdock | Podiatrist | 780 Swift Blvd, # 100, Richland, WA 99352 | 2006-09-27 |
1689614968 | James E Boyd | Podiatrist | 8992 E D Ave, Richland, MI 49083 | 2006-06-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003449430 | Seniorwell Pod of Washington LLC | Podiatrist | 506 Secord Avenue, Suite 1400, Seattle, WA 98104-2329 | 2020-02-13 |
1790337194 | Nw Foot and Ankle Specialists, LLC | Podiatrist | 12900 Ne 180th St, Ste 150, Bothell, WA 98011 | 2019-07-15 |
1174091193 | Fasa Family Wellness Pllc | Podiatrist | 5210 Corporate Center Ct Se Ste A, Lacey, WA 98503-5952 | 2018-11-07 |
1407227424 | Jeremy Cross | Podiatrist | 9399 Ridgetop Blvd Nw Ste A, Silverdale, WA 98383-8505 | 2015-10-16 |
1326427584 | Mallory Schweitzer | Podiatrist | 11212 Sunrise Blvd E Ste 203, Puyallup, WA 98374-8847 | 2015-05-21 |
1740688902 | Oot Specialists of Puget Sound, Ps | Podiatrist | 2728 E Main Ave Suite A, Puyallup, WA 98372 | 2014-12-19 |
1932507191 | & Foot Specialists of Puget Sound, Ps | Podiatrist | 4140 Factoria Blvd Se Suite 1b, Bellevue, WA 98006 | 2014-12-19 |
1013313949 | Ankle & Foot Specialists of Puget Sound, Ps | Podiatrist | 17700 Se 272nd St Ste 370, Covington, WA 98042-4951 | 2014-11-04 |
1366869893 | Stephen J Wold II | Podiatrist | 16701 Ne Mcgillivray Blvd, Ste 220, Vancouver, WA 98683 | 2014-03-21 |
1194085043 | Sara Mahmood | Podiatrist | 1560 N 115th St Ste 102, Seattle, WA 98133-8414 | 2012-05-25 |
Find all providers with the same taxonomy |
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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.