BRIAN K. MIDDLETON NPI 1043494834

NPI Information

NPI: 1043494834
Provider Name: BRIAN K. MIDDLETON

Doing Business As: MEDICAL FOOT CARE CENTER

Classification: Clinic/Center - 261QP1100X
Entity Type: Organization

Specialization: Podiatric

Address:
211 REDMOND RD NW
ROME, GA
ZIP 30165
Phone: (706) 802-1800
Get Directions

BRIAN K. MIDDLETON is a podiatric clinic center in Rome, GA. BRIAN K. MIDDLETON NPI is 1043494834. The provider is registered as an organization entity type.
The provider Is Doing Business As Medical Foot Care Center.

The provider's business location address is:

211 REDMOND RD NW
ROME, GA
ZIP 30165-537
Phone: (706) 802-1800
Fax: (706) 802-0781

The provider's authorized official is Brian Middleton .
The authorized official title is Owner and has the following contact phone number (706) 802-1800.

The CLIA number assigned to this NPI record is 11D0959472 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/28/2007 and was last updated on 10/1/2008.

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
1	261QP1100X	Clinic/Center	Podiatric			Yes

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
1	4692630001	MEDICARE NSC	GEORGIA

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

NPI Synchronization or Removal

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