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

Penndoc Foot & Ankle Center, LLC

Organization Foot & Ankle Surgery Podiatrist · NPI 1407040025

Penndoc Foot & Ankle Center, LLC is a Foot & Ankle Surgery Podiatrist in Bradford, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2007.

Licensed in
PA
In the registry since
2007
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

133 Mill St
Bradford, PA 16701-1408
Phone: (814) 362-3668
Fax: (814) 362-0540
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence SC003540L (PA)

Record details

NPI number1407040025
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Holly Eakin — Office Biller · (181) 436-2366
NPI enumeratedAugust 28, 2007
Last updated in NPPESDecember 22, 2020
Certification dateDecember 22, 2020
Mailing addressPo Box 40, Bradford, PA 16701-0040

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