DR. BRANDON DOUGLAS EWALD (NPI# 1750752374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750752374 |
| Entity Type | Individual |
| Full Name | DR. BRANDON DOUGLAS EWALD |
| Credential | D.P.M. |
| Practice Address |
161 Riverside Dr Ste M08 Binghamton NY 13905-4112 |
| Practice Telephone | 6077237454 |
| Mailing Telephone | 6077237454 |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2020-04-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
P97583 | NY | Podiatric Medicine & Surgery Service Providers |
| Street Address |
161 RIVERSIDE DR STE M08 |
| City | BINGHAMTON |
| State | NY |
| Zip Code | 13905-4112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689222820 | Pamela K Wheaton | Counselor | 40 Front Sreet, Suite K, Binghamton, NY 13905 | 2019-08-30 |
| 1417422593 | Justin William Arnold | Massage Therapist | 1235 Front St, Suite 4, Binghamton, NY 13905 | 2018-10-04 |
| 1366886632 | Lalor Family Dental Pllc | Dentist | 1216 Upper Front Street, Binghamton, NY 13905 | 2013-04-17 |
| 1699015172 | Radharani Mohanty | Pediatrics | 1 Ely Park Blvd - M4, Binghamton, NY 13905 | 2013-02-21 |
| 1710260344 | Michelle L. Rease | Registered Nurse | 40 Front St. Suite C, C/o Riverside Anesthesia, Binghamton, NY 13905 | 2011-09-20 |
| 1508173337 | John D Newman | Registered Nurse | 169 Riverside Dr., Our Lady of Lourdes Hospital, Binghamton, NY 13905 | 2010-08-31 |
| 1073758330 | Jennifer Lynn Kolesar | Pharmacist | Cvs Pharmacy 68 Main St., Binghamton, NY 13905 | 2008-12-15 |
| 1245355155 | Tara Jayant Belsare | Psychiatry & Neurology | 38 Riverside Drive, Binghamton, NY 13905 | 2007-03-20 |
| 1659411866 | State of New York | Intermediate Care Facility, Mentally Retarded | Glenwood Rd, Binghamton, NY 13905 | 2007-02-07 |
| 1528133956 | Judith Tanzer | Social Worker | 35 Front Street, Binghamton, NY 13905 | 2006-11-21 |
| Find all providers in zip 13905 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609236082 | Jessica Wilczek | Podiatrist | 10 Rotary Ave, Binghamton, NY 13905-4181 | 2016-02-29 |
| 1275061954 | Jeffrey Scott D'alessandro | Podiatrist | 169 Riverside Dr, Binghamton, NY 13905-4246 | 2017-05-25 |
| 1013323252 | Joseph William Romani | Podiatrist | 169 Riverside Dr, Binghamton, NY 13905-4246 | 2014-07-09 |
| 1083020267 | Joon Suk Hwang | Podiatrist | 169 Riverside Dr, Binghamton, NY 13905-4246 | 2014-07-08 |
| 1376986281 | Nathan Judd | Podiatrist | 33 Mitchell Ave, Suite 102, Binghamton, NY 13903-1642 | 2013-04-10 |
| 1457690885 | Kelly Ann Smith | Podiatrist | 134 Riverside Dr, Binghamton, NY 13905-4255 | 2013-02-05 |
| 1457597106 | Brian Glenn Timm | Podiatrist | 161 Riverside Dr, Suite M08, Binghamton, NY 13905-4176 | 2008-12-31 |
| 1245268739 | Darren J Weinheimer | Podiatrist | 134 Riverside Dr, Binghamton, NY 13905-4219 | 2006-06-30 |
| 1639105018 | Southern Tier Associates In Podiatric Medicine & Surgery Pllc | Podiatrist | 161 Riverside Dr, Suite M08, Binghamton, NY 13905-4176 | 2006-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518566108 | Vu Nguyen Corp | Podiatrist | 8622 Bay Pkwy Ste 2b, Brooklyn, NY 11214-4170 | 2020-10-23 |
| 1255930079 | Atlantic Podiatry Pllc | Podiatrist | 489 Atlantic Ave # 1a, Brooklyn, NY 11217-2985 | 2020-10-22 |
| 1891393906 | Finger Lakes Podiatry of Geneva, Pllc | Podiatrist | 220 Phoenix Mills Plz, Victor, NY 14564-1414 | 2020-10-12 |
| 1497378699 | Zh Podiatrist of Westchester PC | Podiatrist | 150 Edgepark Rd, White Plains, NY 10603-2106 | 2020-05-21 |
| 1528696259 | Capital District Podiatry, Pllc | Podiatrist | 855 Route 146 Bldg B, Clifton Park, NY 12065-3885 | 2020-03-30 |
| 1629615588 | Kelly Lucas Dpm PC | Podiatrist | 925 Hempstead Tpke Ste 110, Franklin Square, NY 11010-3636 | 2019-12-10 |
| 1811544257 | Christopher Chow Dpm PC | Podiatrist | 749 61st St Ste 503, Brooklyn, NY 11220-4211 | 2019-08-21 |
| 1063074565 | Balance Foot and Ankle LLC | Podiatrist | 611 Mitchel Field Way, Garden City, NY 11530-5057 | 2019-07-03 |
| 1083270979 | Jones Thomas | Podiatrist | 518 Terrace Blvd, New Hyde Park, NY 11040-4343 | 2019-05-15 |
| 1316419690 | Rockaway Podiatry Pllc | Podiatrist | 1957 Flatbush Ave, Brooklyn, NY 11234-2819 | 2018-12-26 |
| Find all providers with the same taxonomy | ||||
| City | BINGHAMTON |
| Zip Code | 13905 |
Please comment or provide details below to improve the information on DR. BRANDON DOUGLAS EWALD.
| 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.