Unknown Individual – Podiatrist, NPI 1952307779

Unknown Individual is a healthcare provider. based in Valley, Alabama. specializing in Podiatrist. They hold a License No. 00086 (AL). The NPI Number for Unknown Individual is 1952307779

Main info

Organization
Inactive
46 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1952307779
Phone
(334) 756-4122
Address
PO BOX 400
Deactivation Date
2 October 2024

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3347564122
Graduation Year
1980 (46 years ago)
PAC ID
7012033921
Professional Enrollment ID
I20100929000143
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • PO box, Russell Road, Paoli, Tredyffrin Township, Chester County, Pennsylvania, 19301, United States

    VALLEY, AL 368540400

    Phone: (334) 756-4122

    Fax: (334) 756-4119

    Type: Mailing

  • 205, Fob James Drive, Valley, Chambers County, Alabama, 36854, United States

    VALLEY, AL 368540400

    Phone: (334) 756-4122

    Fax: (334) 756-4119

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 36854)

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Provider's Procedures

Unknown Individual performs procedures in Podiatrist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYAL11042Removal of skin and tissue first 20 sq cm or less4414

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1952307779 — the number used across U.S. healthcare to identify this provider.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Podiatrist. Clinical services aligned with this taxonomy classification.
Where in Alabama is Unknown Individual registered?
Use Valley, Alabama as the headline location for Unknown Individual here.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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