Provider Demographics
NPI:1871634899
Name:MCBRIDE, HAROLD R JR (DPM)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:R
Last Name:MCBRIDE
Suffix:JR
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1956 41ST AVE STE C
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32960-2561
Mailing Address - Country:US
Mailing Address - Phone:772-567-3338
Mailing Address - Fax:772-567-6397
Practice Address - Street 1:1956 41ST AVE STE C
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-2561
Practice Address - Country:US
Practice Address - Phone:772-567-3338
Practice Address - Fax:772-567-6397
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-11
Last Update Date:2008-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO0001082213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL3900878 00Medicaid
FL406480293OtherPALMETTO GBA RAILROAD MEDICARE
FL406480293OtherPALMETTO GBA RAILROAD MEDICARE
FLT55456Medicare UPIN