Provider Demographics
NPI:1134154743
Name:SAPKO, BRIGITTE LEIGH (DPM)
Entity type:Individual
Prefix:DR
First Name:BRIGITTE
Middle Name:LEIGH
Last Name:SAPKO
Suffix:
Gender:F
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:PO BOX 43
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301
Mailing Address - Country:US
Mailing Address - Phone:724-222-2160
Mailing Address - Fax:724-222-1462
Practice Address - Street 1:1874 WEST CHESTNUT STREET
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301
Practice Address - Country:US
Practice Address - Phone:724-222-2160
Practice Address - Fax:724-222-1462
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC004525R213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01790118Medicaid
PA110619OtherUNISON
PA1349146OtherBCBS OF WPA
PA01790118Medicaid
U79529Medicare UPIN