DR. BRAD A. LINDSTROM (NPI# 1609850122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609850122 |
| Entity Type | Individual |
| Full Name | DR. BRAD A. LINDSTROM |
| Credential | DPM |
| Practice Address |
211 E Butler Rd Suite A-2 Mauldin SC 29662-2169 |
| Practice Telephone | 8642819171 |
| Practice Fax Number | 8642819170 |
| Mailing Telephone | 8642819171 |
| Mailing Fax Number | 8642819170 |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
555 | SC | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 735550 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164716445 | Brad H Lindstrom | Pharmacist | 1270 E Main St, Barstow, CA 92311-2409 | 2011-06-04 |
| Street Address |
211 E BUTLER RD SUITE A-2 |
| City | MAULDIN |
| State | SC |
| Zip Code | 29662-2169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518426295 | Dylan Michael Carlisle | Podiatrist | 211 E Butler Rd, Mauldin, SC 29662-2169 | 2019-03-13 |
| 1427473966 | Foot Clinic of South Carolina, LLC | Podiatrist | 211 E Butler Rd, Suite A2, Mauldin, SC 29662-2169 | 2014-02-20 |
| 1861538969 | Foot Clinic of South Carolina, LLC | Podiatrist | 211 E Butler Rd, Suite A2, Mauldin, SC 29662-2169 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154862399 | Connie Painter | Behavior Technician | 103 Miller Rd, Mauldin, SC 29662 | 2017-03-20 |
| 1073061610 | Lisa Rist | Counselor | 400 South Main St Suite C, Mauldin, SC 29662 | 2016-09-12 |
| 1285181347 | Jennifer Wise | Specialist/Technologist | 310 Neely Ferry Road, Mauldin, SC 29662 | 2016-09-07 |
| 1467908236 | Maan Aziz Kerzzo | Pharmacist | 129 West Butler Road, Mauldin, SC 29662 | 2016-08-31 |
| 1083011357 | Southeast Transportation Services LLC | Non-emergency Medical Transport (VAN) | 411 N. Main St., Mauldin, SC 29662 | 2014-12-02 |
| 1174926471 | Holly Christine Waite | Chiropractor | 785 E Butler Rd, Ste D, Mauldin, SC 29662 | 2014-09-30 |
| 1194138701 | Vanessa Vance-logan | Case Manager/Care Coordinator | 400 West Butler Road; Suite B-1, Mauldin, SC 29662 | 2014-06-11 |
| 1265771984 | Connie Mae Lenagh | Nurse Practitioner | 924 E. Butler Rd, Mauldin, SC 29662 | 2013-02-01 |
| 1679823918 | Linda W Gerhart | Pharmacist | 224 East Butler Rd, Mauldin, SC 29662 | 2012-09-13 |
| 1114277894 | David Merz Banks | Pharmacist | 315 West Butler Rd, Mauldin, SC 29662 | 2012-09-11 |
| Find all providers in zip 29662 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336564749 | Oak Tree Podiatry, Pa | Podiatrist | 5 Winchester Ct, Mauldin, SC 29662-2626 | 2014-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457728032 | Flowertown Podiatry, Inc | Podiatrist | 4340 Ladson Rd Ste C, Ladson, SC 29456-6444 | 2015-08-30 |
| 1346384971 | John Ksor | Podiatrist | 2502 Broad St, Camden, SC 29020-2238 | 2007-02-16 |
| 1326007022 | Mark Raymond Kutyla | Podiatrist | 121 Park Place Ct, Lexington, SC 29072-6690 | 2006-03-21 |
| 1669441895 | Gerard F Rainer | Podiatrist | 148 Milestone Way, Suite A, Greenville, SC 29615-5007 | 2006-03-17 |
| 1285623827 | Sarah M Jordan | Podiatrist | 1399 John B White Sr Blvd, Spartanburg, SC 29306-3911 | 2005-10-17 |
| 1194259341 | Matthew Fernandez | Podiatrist | 1012 Physicians Dr, Charleston, SC 29414-5719 | 2017-04-14 |
| 1134571334 | Robert Ezewuiro | Podiatrist | 1190 Highway 9 Byp W, Lancaster, SC 29720-1709 | 2016-07-12 |
| 1265673784 | Hans Blaakman,dpm,llc | Podiatrist | 1575 E Main St, Duncan, SC 29334-9218 | 2009-03-12 |
| 1467609016 | Gerard F. Rainer Dpm | Podiatrist | 148 Milestone Way, Ste A, Greenville, SC 29615-5007 | 2008-08-26 |
| 1447389051 | Dpmkishnrsc LLC | Podiatrist | 411 Lockman Rd, Elgin, SC 29045-8715 | 2007-03-02 |
| 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.