location
search-icon
person
Brandon R. Gumbiner, DPM
Podiatrist in Dixon, Illinois
NPI 1154583177

Brandon R. Gumbiner is a Podiatrist based in Dixon, IL. Brandon R. Gumbiner practices in Dixon, IL and has the professional credentials of DPM. The NPI Number for Brandon R. Gumbiner is 1154583177 and holds a License No. 016005377 (Illinois).

The current practice location address for Brandon R. Gumbiner is 215 E 1St St Ste 310, Dixon, IL and can be reached out via phone at 815-285-5801 and via fax at 815-285-5699.

Location: 215 E 1St St Ste 310, Dixon, IL, 61021-3190
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154583177
Provider Name
Brandon R. Gumbiner
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
215 E 1St St Ste 310, Dixon, IL, 61021-3190
Phone Number
815-285-5801
Fax Number
815-285-5699
Provider Enumeration Date
06/30/2008
Last Update Date
12/14/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
016005377 05 IL
508770006 01 IN MEDICARE
F400482004 01 IL MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
215 E 1St St Ste 310
City
Dixon
State
Illinois
Zip
61021
Phone Number
815-285-5801
Fax Number
815-285-5699
person
Provider Business Mailing Address Details
Address
215 E 1St St Ste 310
City
Dixon
State
Illinois
Zip
61021
Phone Number
815-285-5801
Fax Number
815-285-5699
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
07001081 (Indiana)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
016005377 (Illinois)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.