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

Dr. David Jason Ellenbogen, DPM

Individual provider Primary Podiatric Medicine Podiatrist · NPI 1831222090

Dr. David Jason Ellenbogen, DPM is a Podiatry in Charlotte, North Carolina. Graduated from New York College of Podiatric Medicine in 2003, 23 years ago. Practices with Charlotte Limb Preservation and Diabetic Foot Center PLLC, a 2-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
23
Trained at
New York College of Podiatric Medicine
Licensed in
NC
In the registry since
2007
Specialties on file
3
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

10035 Park Cedar Dr Ste 100
Charlotte, NC 28210-8910
Phone: (704) 442-9011
Fax: (704) 625-9484
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 615 (NC)
Primary Podiatric Medicine Podiatrist Taxonomy 213EP1101X · Licence 615 (NC)
Foot Surgery Podiatrist Taxonomy 213ES0131X · Licence 615 (NC)

Record details

NPI number1831222090
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedMarch 14, 2007
Last updated in NPPESFebruary 14, 2023
Certification dateFebruary 17, 2021
Mailing address10035 Park Cedar Dr Ste 100, Charlotte, NC 28210-8910

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolNEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduated 2003 (23 years in practice)
Group practice Charlotte Limb Preservation And Diabetic Foot Center Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Charlotte