Provider Demographics
NPI:1376923888
Name:BLAND FOOT CARE, PLLC
Entity Type:Organization
Organization Name:BLAND FOOT CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RODNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:BLAND
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:757-653-7828
Mailing Address - Street 1:PO BOX 673
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:VA
Mailing Address - Zip Code:23851-0673
Mailing Address - Country:US
Mailing Address - Phone:757-517-0465
Mailing Address - Fax:757-517-0575
Practice Address - Street 1:101 S COLLEGE DR
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:VA
Practice Address - Zip Code:23851-2425
Practice Address - Country:US
Practice Address - Phone:757-517-0465
Practice Address - Fax:757-517-0575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-01
Last Update Date:2022-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1376923888Medicaid
F210OtherMEDICARE
1437166683OtherMEDICARE NPI