CRYSTAL COAST PODIATRY, PLLC (NPI# 1932265196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932265196 |
| Entity Type | Organization |
| Organization Name | CRYSTAL COAST PODIATRY, PLLC |
| Practice Address |
3109 Trent Rd New Bern NC 28562-5736 |
| Practice Telephone | 2526384700 |
| Practice Fax Number | 2526385766 |
| Mailing Telephone | 2526384700 |
| Mailing Fax Number | 2526385766 |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2010-02-10 |
| Authorized Official Name | DR. THOMAS JOHN BOBROWSKI (MANAGING MEMBER) |
| Authorized Official Telephone | 2526384700 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 417 | NC | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 790800U | 05 | |
| NC | BCBS | 0800U | 01 |
| Street Address |
3109 TRENT RD |
| City | NEW BERN |
| State | NC |
| Zip Code | 28562-5736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346229671 | Thomas John Bobrowski | Podiatrist | 3109 Trent Rd, New Bern, NC 28562-5736 | 2006-01-13 |
| 1003160680 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 3109 Trent Rd, New Bern, NC 28562-5736 | 2012-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235741943 | Benchmark Physical Therapy of Nc, LLC | Occupational Therapist | 2026 Waterscape Way Ste 13, New Bern, NC 28562 | 2020-08-24 |
| 1023677234 | Katie Rebecca Masters Dmd Pllc | Dentist | 2900 Doctor M L K Jr. Blvd, New Bern, NC 28562 | 2019-06-11 |
| 1093281750 | Try-care LLC | Mechanotherapist | 37 Shoreline Dr, New Bern, NC 28562 | 2018-10-22 |
| 1376021949 | Maykin Kimberly Boyd | Social Worker | 1405 A South Glenburnie Rd, New Bern, NC 28562 | 2018-08-05 |
| 1770069288 | Rebecca Ann Anderson Bright | Counselor | 3435 Belmont Blvd, New Bern, NC 28562 | 2018-07-17 |
| 1841799814 | Dallin Page | Physical Therapist | 2111 Neuse Blvd Suite K, New Bern, NC 28562 | 2018-02-06 |
| 1467960476 | Randolph Ntoko Esabe | Pharmacist | 258 Station House Rd, New Bern, NC 28562 | 2018-01-12 |
| 1881100568 | Reid Family Eye Care, Od, Pllc | Optometrist | 3105 Doctor M.l.k. Jr. Blvd, New Bern, NC 28562 | 2017-12-18 |
| 1851742050 | Harris Teeter, LLC | Durable Medical Equipment & Medical Supplies | 2032 Waterscape Way, New Bern, NC 28562 | 2016-06-29 |
| 1609241868 | Victor Montoyaamaya | Military Health Care Provider | 3331 Hardee Farms Dr, New Bern, NC 28562 | 2015-12-14 |
| Find all providers in zip 28562 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346229671 | Thomas John Bobrowski | Podiatrist | 3109 Trent Rd, New Bern, NC 28562-5736 | 2006-01-13 |
| 1033117585 | Thomas Eugene Curd | Podiatrist | 1421 S Glenburnie Rd, New Bern, NC 28562-2603 | 2005-07-08 |
| 1962406991 | Thomas James Hagan | Podiatrist | 612a Mccarthy Blvd, New Bern, NC 28562-5231 | 2005-06-08 |
| 1720489818 | Tyler K. Hagan, Dpm, Pllc | Podiatrist | 612a Mccarthy Blvd, New Bern, NC 28562-5231 | 2014-09-09 |
| 1386602258 | Thomas J Hagan, Dpm | Podiatrist | 612a Mccarthy Blvd, New Bern, NC 28562-5231 | 2006-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457913006 | Caromont Medical Group Inc | Podiatrist | 2555 Court Dr Ste 250, Gastonia, NC 28054-2185 | 2019-07-03 |
| 1902370968 | Mission Foot and Ankle, Pllc | Podiatrist | 4140 Fayetteville Rd, Lumberton, NC 28358-2669 | 2019-01-14 |
| 1912474784 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 1004 Werrington Drive, Suite 300, Holly Springs, NC 27540 | 2018-10-30 |
| 1598240525 | Innovative Foot and Ankle Care Pllc | Podiatrist | 318 English Oak Rd, Fletcher, NC 28732-8368 | 2018-09-25 |
| 1568949915 | Natalie Patricia Martinez-jones | Podiatrist | 9601 Holly Point Dr Ste 203, Huntersville, NC 28078-5069 | 2018-07-27 |
| 1073003752 | Gooden Mobile Pod Nc Pllc | Podiatrist | 311 Mcfadyen Dr, Fayetteville, NC 28314 | 2018-05-17 |
| 1508215179 | Bryan Joseph Williams | Podiatrist | 428 N Trade St Ste 100, Matthews, NC 28105-1729 | 2016-06-06 |
| 1477908846 | James Keith Smith | Podiatrist | 6 Regional Dr Suite D, Pinehurst, NC 28374-8850 | 2016-05-04 |
| 1578941423 | Kristin A Kirby | Podiatrist | 15419 Hodges Cir Ste 200, Huntersville, NC 28078 | 2015-05-12 |
| 1396138228 | Barnabas Podiatry & Health Wellness Center LLC | Podiatrist | 2709 Southern Trace Dr, Waxhaw, NC 28173-0010 | 2015-03-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.