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R BRENT HARBIN DPM PLLC NPI 1194940650


NPI Information

NPI: 1194940650
Provider Name: R BRENT HARBIN DPM PLLC

Doing Business As: FOOTHILLS PODIATRY PLLC

Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
616 W LAMAR ALEXANDER PKWY
MARYVILLE, TN
ZIP 37801
Phone: (865) 977-1316
Get Directions

R BRENT HARBIN DPM PLLC is a podiatrist in Maryville, TN. The provider is 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. R BRENT HARBIN DPM PLLC NPI is 1194940650. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Foothills Podiatry Pllc.

The provider's business location address is:

616 W LAMAR ALEXANDER PKWY
MARYVILLE, TN
ZIP 37801-904
Phone: (865) 977-1316
Fax: (865) 977-8742

The provider's authorized official is Reginald Brent Harbin .
The authorized official title is Owner and has the following contact phone number (865) 977-1316.

The enumeration date for this NPI number is 4/17/2007 and was last updated on 7/29/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle SurgeryDPM559TENNESSEENo
2213E00000XPodiatristDPM0000000559TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13353534MEDICAIDTENNESSEE
2U80724MEDICARE UPINTENNESSEE
36236810001MEDICARE NSCTENNESSEE
43353269MEDICARE PINTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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