Healthcare Provider Details

I. General information

NPI: 1265471890
Provider Name (Legal Business Name): BRIAN DENNEY FUTRELL D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2006
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

955 E BROAD ST
FUQUAY VARINA NC
27526-1960
US

IV. Provider business mailing address

955 E BROAD ST
FUQUAY VARINA NC
27526-1960
US

V. Phone/Fax

Practice location:
  • Phone: 919-346-0338
  • Fax: 800-901-4828
Mailing address:
  • Phone: 586-243-4530
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number545
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number545
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number545
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: