Bryan L. Berghout, Dpm Pc in Bothell - Foot & Ankle Surgery
Bryan L. Berghout, Dpm Pc - NPI 1518047794
Bryan L. Berghout, Dpm Pc is a Foot & Ankle Surgery in Bothell, Washington. Bryan L. Berghout, Dpm Pc practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Bryan L. Berghout, Dpm Pc is 1518047794. The last update date is 2020-08-22.
Bryan L. Berghout, Dpm Pc's current location address is 3600 158th Pl Se, Bothell, Washington. You can contact this provider via phone number 9494335262 and fax number 4252255458. The mailing address for Bryan L. Berghout, Dpm Pc is 3600 158th Pl Se, Bothell, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bryan L. Berghout, Dpm Pc |
|---|---|
| Address | 3600 158th Pl Se, Bothell, Washington |
| Phone Number | 9494335262 |
| Fax Number | 4252255458 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER PRES |
|---|---|
| Authorized Official Name | Berghout Leonard Bryan |
| Credentials | DPM |
| Telephone Number | 9494335262 |
NPI Number Detail
| NPI Number | 1518047794 |
|---|---|
| Provider Enumeration Date | 2006-10-16 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 3600 158th Pl Se |
|---|---|
| City | Bothell |
| State | Washington (WA) |
| Post Code | 980124750 |
| Phone Number | 9494335262 |
| Fax Number | 4252255458 |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
| Licence No | E4205 |
|
Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
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What is the Bryan L. Berghout, Dpm Pc's 1518047794?
The Bryan L. Berghout, Dpm Pc's NPI (National Provider Identifier) Number is 1518047794. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Bryan L. Berghout, Dpm Pc is located?
The Bryan L. Berghout, Dpm Pc is situated at the following address: 3600 158Th Pl Se, Bothell, WA, 980124750.
What is Bryan L. Berghout, Dpm Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Bryan L. Berghout, Dpm Pc is Foot & Ankle Surgery, and the taxonomy code that classifies this field of practice is 213Es0103X.
On what date did the Centers for Medicare & Medicaid Services assign the 1518047794 to Bryan L. Berghout, Dpm Pc?
The Centers for Medicare & Medicaid Services assigned the 1518047794 to Bryan L. Berghout, Dpm Pc on 2006-10-16.
When was the information regarding Bryan L. Berghout, Dpm Pc most recently updated?
The details pertaining to the Bryan L. Berghout, Dpm Pc, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.
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