Provider Demographics
NPI:1073946539
Name:SCHMIDT, BRIAN T (DPM)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:T
Last Name:SCHMIDT
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9300 MEADOW VIEW DR STE 101
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:KS
Mailing Address - Zip Code:66227
Mailing Address - Country:US
Mailing Address - Phone:913-871-2183
Mailing Address - Fax:913-780-4834
Practice Address - Street 1:9300 MEADOW VIEW DR STE 101
Practice Address - Street 2:
Practice Address - City:SHAWNEE
Practice Address - State:KS
Practice Address - Zip Code:66227
Practice Address - Country:US
Practice Address - Phone:913-871-2183
Practice Address - Fax:913-780-4834
Is Sole Proprietor?:No
Enumeration Date:2013-08-19
Last Update Date:2021-04-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI17857-875213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery