IndividualActive
David Ellenbogen, DPM
NPI 1831222090 · Foot & Ankle Surgery Podiatrist · Charlotte, NC
Provider details
- NPI number
- 1831222090
- Entity type
- Individual
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- License
- 615 (NC)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Podiatric Medicine & Surgery Service Providers
Podiatric Medicine & Surgery Service Providers
Practice location
10035 Park Cedar Dr Ste 100
Charlotte, NC 28210-8910
Phone: (704) 442-9011
Fax: (704) 625-9484
Approximate (ZIP-level) locationGet directions
Mailing address
10035 Park Cedar Dr Ste 100
Charlotte, NC 28210-8910
Registry dates
- Enumerated
- 2007-03-14
- Last updated
- 2023-02-14
- Certified
- 2021-02-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.