Alta Ridge Foot Specialists, PLLC
NPI 1124414545 · Podiatrist · Boone, NC
Enrolled with Medicare as Dme Supplier - Physician - General Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Alta Ridge Foot Specialists, PLLC is a Podiatrist organization in Boone, NC (NPI 1124414545).
Provider details
- NPI number
- 1124414545
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Robert Van Brederode, Owner/Provider(828) 766-7667
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
- Foot & Ankle Surgery Podiatrist213ES0103X
Podiatric Medicine & Surgery Service Providers
- Foot Surgery Podiatrist213ES0131X
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-04-13
- Last updated
- 2020-01-10
- Certified
- 2020-01-10
Frequently asked questions
- What is Alta Ridge Foot Specialists, PLLC's NPI number?
- Alta Ridge Foot Specialists, PLLC's National Provider Identifier (NPI) is 1124414545, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Alta Ridge Foot Specialists, PLLC?
- Alta Ridge Foot Specialists, PLLC is classified in the NPPES registry as Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Alta Ridge Foot Specialists, PLLC located?
- Alta Ridge Foot Specialists, PLLC's practice location on file with NPPES is 2211 Highway 105, Boone, NC 28607-7813.
- What is Alta Ridge Foot Specialists, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Alta Ridge Foot Specialists, PLLC is (828) 286-1948.
- Does Alta Ridge Foot Specialists, PLLC accept Medicare?
- Alta Ridge Foot Specialists, PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Alta Ridge Foot Specialists, PLLC?
- The authorized official listed on Alta Ridge Foot Specialists, PLLC's NPPES record is Robert Van Brederode, Owner/Provider. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Alta Ridge Foot Specialists, PLLC's NPI active?
- Yes — Alta Ridge Foot Specialists, PLLC's NPI (1124414545) is active in the NPPES registry as of the last update on 2020-01-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.