Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brookdale Foot Clinic LLC

Organization Podiatrist · NPI 1346651536

Brookdale Foot Clinic LLC is a Podiatrist in Statesville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2014.

Licensed in
NC
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

533 Brookdale Dr
Statesville, NC 28677-4107
Phone: (336) 618-6961
Fax: (336) 793-3051
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 330 (NC)

Record details

NPI number1346651536
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official George Vito — Member · (336) 618-6961
NPI enumeratedMay 10, 2014
Last updated in NPPESMay 10, 2014
Mailing addressPo Box 24561, Winston Salem, NC 27114-4561

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