Peninsula Podiatry Llc
Podiatrist
Bldg 4 2, 30 North 18th Avenue, Sturgeon Bay
Wisconsin, 54235-3207
920-743-6668 920-743-9222
Peninsula Podiatry Llc is a Podiatrist in Sturgeon Bay, Wisconsin. It is located at Bldg 4 2, 30 North 18th Avenue, Sturgeon Bay and it's customer support contact number is 920-743-6668. The authorized person of Peninsula Podiatry Llc is Bradley Gerard Burkart, DPM who is Managing Partner of this DME and his contact number is 920-743-6668. Peninsula Podiatry Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Peninsula Podiatry Llc is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
DME Supplier Details:
Peninsula Podiatry Llc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Peninsula Podiatry Llc |
| Type: | Podiatrist |
| Location: | Bldg 4 2, 30 North 18th Avenue, Sturgeon Bay,
Wisconsin, 54235-3207 |
| Phone: | 920-743-6668 |
| Fax: | 920-743-9222 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Bradley Gerard Burkart |
| Credentials: | DPM |
| Position: | Managing Partner |
| Contact Number: | 920-743-6668 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1255425088 |
| NPI Enumeration Date: | 03 Oct, 2006 |
| NPI Last Update On: | 05 Feb, 2008 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Peninsula Podiatry Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Podiatrist | | Wisconsin | Primary | |
| Durable Medical Equipment & Medical Supplies | | Wisconsin | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 43267300 | Medicaid | Wisconsin | |
Medicare Enrollment:
Peninsula Podiatry Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 0244280329 | O20050126000762 | Peninsula Podiatry Llc | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Bldg 4 2, 30 North 18th Avenue
Sturgeon Bay, Wisconsin |
| Zip: | 54235-3207 |
| Phone Number: | 920-743-6668 |
| Fax Number: | 920-743-9222 |
Patients can reach Peninsula Podiatry Llc at
Bldg 4 2, 30 North 18th Avenue, Sturgeon Bay, Wisconsin or can
call on customer care at 920-743-6668.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.