Penndoc Foot & Ankle Center, LLC
NPI 1407040025 · Foot & Ankle Surgery Podiatrist · Bradford, PA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Penndoc Foot & Ankle Center, LLC is a Foot & Ankle Surgery Podiatrist organization in Bradford, PA (NPI 1407040025).
Provider details
- NPI number
- 1407040025
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Holly Eakin, Office Biller(181) 436-2366
- License
- SC003540L (PA)
Specialties & taxonomies
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
18 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
- 2007-08-28
- Last updated
- 2020-12-22
- Certified
- 2020-12-22
Frequently asked questions
- What is Penndoc Foot & Ankle Center, LLC's NPI number?
- Penndoc Foot & Ankle Center, LLC's National Provider Identifier (NPI) is 1407040025, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Penndoc Foot & Ankle Center, LLC?
- Penndoc Foot & Ankle Center, LLC is classified in the NPPES registry as Foot & Ankle Surgery Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Penndoc Foot & Ankle Center, LLC located?
- Penndoc Foot & Ankle Center, LLC's practice location on file with NPPES is 133 Mill St, Bradford, PA 16701-1408.
- What is Penndoc Foot & Ankle Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Penndoc Foot & Ankle Center, LLC is (814) 362-3668.
- Does Penndoc Foot & Ankle Center, LLC accept Medicare?
- Penndoc Foot & Ankle Center, LLC 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 Penndoc Foot & Ankle Center, LLC?
- The authorized official listed on Penndoc Foot & Ankle Center, LLC's NPPES record is Holly Eakin, Office Biller. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Penndoc Foot & Ankle Center, LLC's NPI active?
- Yes — Penndoc Foot & Ankle Center, LLC's NPI (1407040025) is active in the NPPES registry as of the last update on 2020-12-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.