Provider Demographics
NPI:1376758573
Name:ABOUT FEET, LTD
Entity Type:Organization
Organization Name:ABOUT FEET, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:804-222-4949
Mailing Address - Street 1:4788 FINLAY ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23231-2754
Mailing Address - Country:US
Mailing Address - Phone:804-222-4949
Mailing Address - Fax:804-226-0678
Practice Address - Street 1:4788 FINLAY ST
Practice Address - Street 2:SUITE 1
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23231-2754
Practice Address - Country:US
Practice Address - Phone:804-222-4949
Practice Address - Fax:804-226-0678
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-11
Last Update Date:2013-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0103000393213ES0103X, 332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0658540001Medicare NSC
VAVAA101676Medicare PIN
VACJ0327Medicare PIN