Alta Ridge Foot Specialists, PLLC
NPI 1124414545ActiveOrganization· Podiatrist· Boone, NC
Podiatrist in Boone, North Carolina, registered in NPPES in April 2015. The authorized official on file is Robert L. Van Brederode, DPM, Owner/Provider. Enrolled in Medicare as dme supplier - physician - general practice.
Overview
| NPI | 1124414545 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 13, 2015 |
| Last updated in NPPES | Jan 10, 2020 |
| Certified by provider | Jan 10, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist Primary | 213E00000X | — | — |
| Podiatrist, Foot & Ankle Surgery | 213ES0103X | — | — |
| Podiatrist, Foot Surgery | 213ES0131X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - General Practice (NC) |
|---|
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