Provider Demographics
NPI:1568529923
Name:E. TODD FALLS, DPM, LLC
Entity Type:Organization
Organization Name:E. TODD FALLS, DPM, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:TODD
Authorized Official - Last Name:FALLS
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:205-599-5811
Mailing Address - Street 1:2000 STONEGATE TRL STE 112
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA HLS
Mailing Address - State:AL
Mailing Address - Zip Code:35242-2237
Mailing Address - Country:US
Mailing Address - Phone:205-599-5811
Mailing Address - Fax:205-599-5556
Practice Address - Street 1:2000 STONEGATE TRL STE 112
Practice Address - Street 2:
Practice Address - City:VESTAVIA HLS
Practice Address - State:AL
Practice Address - Zip Code:35242-2237
Practice Address - Country:US
Practice Address - Phone:205-599-5811
Practice Address - Fax:205-599-5556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
Last Update Date:2018-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL184213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALG998Medicare UPIN