| Bradford Foot And Ankle Specialties | |
|
1786 Golden Mile Rd, Suite 1, Towanda, PA 18848-9733 | |
| (570) 265-7700 | |
| (570) 268-4266 |
| Full Name | Bradford Foot And Ankle Specialties |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 1786 Golden Mile Rd, Towanda, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730196601 | NPI | - | NPPES |
| 1025528480001 | Medicaid | PA | |
| 206545 | Other | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | SC003249L (Pennsylvania) | Primary |
| Provider Name | Timothy M Kump |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1841294485 PECOS PAC ID: 1355234824 Enrollment ID: I20040206000828 |
| Mailing Address | Practice Location Address |
|---|---|
| Bradford Foot And Ankle Specialties Po Box 376, Wysox, PA 18854-0376 Ph: (570) 265-7700 | Bradford Foot And Ankle Specialties 1786 Golden Mile Rd, Suite 1, Towanda, PA 18848-9733 Ph: (570) 265-7700 |
Anthony Wayne Norris, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 71 Hospital Dr, Towanda, PA 18848 Phone: 570-265-6300 Fax: 570-268-2807 | |
Timothy M Kump, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1786 Golden Mile Rd, Suite 1, Towanda, PA 18848 Phone: 570-265-7700 Fax: 570-268-4266 |