Healthcare Provider Details
I. General information
NPI: 1548404544
Provider Name (Legal Business Name): BRYAN M FELDNER DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/22/2009
Last Update Date: 03/13/2026
Certification Date: 03/13/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
575 COPELAND MILL RD 2F
WESTERVILLE OH
43081-8977
US
IV. Provider business mailing address
575 COPELAND MILL RD SUITE 2F
WESTERVILLE OH
43081-8977
US
V. Phone/Fax
- Phone: 614-891-2828
- Fax: 614-891-5411
- Phone: 740-607-6720
- Fax: 614-891-5411
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BC3200X |
| Taxonomy | Customized Equipment (DME) |
| License Number | |
| License Number State | OH |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 213E00000X |
| Taxonomy | Podiatrist |
| License Number | 36003513 |
| License Number State | OH |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 213ES0103X |
| Taxonomy | Foot & Ankle Surgery Podiatrist |
| License Number | 36003513 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: