Provider Demographics
NPI:1265471890
Name:FUTRELL, BRIAN DENNEY (DPM)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:DENNEY
Last Name:FUTRELL
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:601 KEISLER DR STE 100
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-6566
Mailing Address - Country:US
Mailing Address - Phone:586-243-4530
Mailing Address - Fax:
Practice Address - Street 1:601 KEISLER DR STE 100
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-6566
Practice Address - Country:US
Practice Address - Phone:919-249-5497
Practice Address - Fax:800-901-4828
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC545207RG0300X, 213ES0103X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine