Active NPIOrganization

Healthdrive Podiatry Group, PC

Podiatrist in Brookfield, Wisconsin

NPI Number1679504427
Practice location
200 S Executive Dr, Suite 101, Brookfield, WI 53005-4216
Fax
414-535-8135
Last updated
April 16, 2020

Healthdrive Podiatry Group, PC is a healthcare organization based in Brookfield, WI. Healthdrive Podiatry Group, PC practices in Brookfield, WI. The NPI Number for Healthdrive Podiatry Group, PC is 1679504427. The current practice location address for Healthdrive Podiatry Group, PC is 200 S Executive Dr, Suite 101, Brookfield, WI 53005-4216 and can be reached out via phone at 414-535-8134 and via fax at 414-535-8135.

Provider Profile Details

NPI Number
1679504427
Provider Name
Healthdrive Podiatry Group, PC
Provider Entity Type
Organization
Address
200 S Executive Dr, Suite 101, Brookfield, WI 53005-4216
Phone Number
414-535-8134
Fax Number
414-535-8135
Primary Taxonomy
Podiatrist · 213E00000X
Organization Subpart
No
Authorized Official
Dr. Shadi Adib Abboud, DPM · Treasurer/Practice Director · 857-255-0486
Other Names
Healthdrive Podiatry Group (Doing Business As)
Provider Enumeration Date
July 6, 2006
Last Update Date
April 16, 2020
Certification Date
April 16, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
200 S Executive Dr
Suite 101
Brookfield, WI 53005-4216
Zip
53005-4216
Phone Number
414-535-8134
Fax Number
414-535-8135
Brookfield, WI 53005Get directions →

Provider Business Mailing Address Details

Address
100 Crossing Blvd
Suite 300
Framingham, MA 01702-5555
City
Framingham
State
MA
Zip
01702-5555
Phone Number
617-964-6681
Fax Number
339-686-2561

License Information

Taxonomy
Podiatrist · 213E00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Healthdrive Podiatry Group, PC?

The NPI number of Healthdrive Podiatry Group, PC is 1679504427. It was assigned on July 6, 2006 and is currently active in the NPPES registry.

What is the specialty of Healthdrive Podiatry Group, PC?

Healthdrive Podiatry Group, PC is registered under the primary taxonomy Podiatrist (code 213E00000X).

Where does Healthdrive Podiatry Group, PC practice?

The practice location is 200 S Executive Dr, Suite 101, Brookfield, WI 53005-4216. The office can be reached at 414-535-8134 (phone) or 414-535-8135 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1679504427 directly on the NPPES registry website.

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