OrganizationActive
Bangor Podiatry LLC
NPI 1972996189 · Foot & Ankle Surgery Podiatrist · Gilbert, PA
Provider details
- NPI number
- 1972996189
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Parent organization
- Bangor Podiatry LLC
- Organization subpart
- Yes
- Authorized official
- Cheralyn Perkins, Owner(610) 588-6621
- License
- SC004468L (PA)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
1310 Route 209 Ste 107
Gilbert, PA 18331-7751
Phone: (570) 992-5779
Fax: (570) 992-5806
Approximate (ZIP-level) locationGet directions
Mailing address
129 N 11th St
Bangor, PA 18013-1603
Other names (DBA / former)
- Other name
- Bangor Podiatry of Brodheadsville
Registry dates
- Enumerated
- 2015-03-12
- Last updated
- 2024-11-15
- Certified
- 2024-11-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.