Bryan Leonard Berghout in Everett - Foot & Ankle Surgery
Bryan Leonard Berghout - NPI 1255411419
Bryan Leonard Berghout is a Foot & Ankle Surgery in Everett, Washington. Bryan Leonard Berghout practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Bryan Leonard Berghout is 1255411419. The last update date is 2016-04-25.
Bryan Leonard Berghout's current location address is 10821 19th Ave Se, Everett, Washington. You can contact this provider via phone number 4253377000 and fax number 4253382408. The mailing address for Bryan Leonard Berghout is 10821 19th Ave Se, Everett, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bryan Leonard Berghout |
|---|---|
| Address | 10821 19th Ave Se, Everett, Washington |
| Phone Number | 4253377000 |
| Fax Number | 4253382408 |
| Sole Proprietor | N |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1255411419 |
|---|---|
| Provider Enumeration Date | 2006-10-16 |
| Last Updated Date | 2016-04-25 |
Provider Mailing Address Detail
| Address | 10821 19th Ave Se |
|---|---|
| City | Everett |
| State | Washington (WA) |
| Post Code | 982085103 |
| Phone Number | 4253377000 |
| Fax Number | 4253382408 |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
| Licence No | PO00000813 |
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Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8484388 | WA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Bryan Leonard Berghout by the Centers for Medicare & Medicaid Services?
The Bryan Leonard Berghout has been issued the NPI (National Provider Identifier) 1255411419. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Bryan Leonard Berghout?
The Bryan Leonard Berghout is situated at 10821 19Th Ave Se, in the city of Everett, state of WA, with the zip code 982085103.
What is the Bryan Leonard Berghout's specialty and taxonomy code?
The Bryan Leonard Berghout's specialty is Foot & Ankle Surgery, and the corresponding taxonomy code is 213Es0103X.
On what date was the 1255411419 assigned to Bryan Leonard Berghout?
The Bryan Leonard Berghout was issued its 1255411419 on 2006-10-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Bryan Leonard Berghout, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Bryan Leonard Berghout, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-04-25.