Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213EP1101X | Primary Podiatric Medicine | 638 | NC |
N | 213ES0103X | Foot & Ankle Surgery | 638 | NC |
N | 213ES0131X | Foot Surgery | 638 | NC |
NPI | 1265833479 |
---|---|
Provider Name | Dr. Jonathan Brooks Simpson |
First Address | Cherryville, NC 28021-3422 |
Second Address | New York, NY 10016-9196 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/09/2014 |
Last Update Date | 21/10/2020 |