MEDICARE: CARY COPELAND DPM INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	213ES0103X	Foot & Ankle Surgery Podiatrist
2	213ES0131X	Foot Surgery Podiatrist
3	332B00000X	Durable Medical Equipment & Medical Supplies
4	213E00000X	Podiatrist

General Provider Information

NPI Number	:	1134086325
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARY COPELAND DPM INC

Provider Business Mailing Address
First Line	:	PO BOX 825159
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19182-5159
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	47 S STANFIELD RD
Second Line	:
City	:	TROY
State	:	OH
Zip	:	45373-2992
Country	:	US
Telephone Number	:	937-339-4330
Fax Number	:	937-335-5234

Authorized Official
Title or Position	:	DIRECTOR
Name	:	ADAM KNEPP
Credential	:
Telephone Number	:	314-909-1920

Provider Enumeration Date	:	01/08/2026
Last Update Date	:	01/08/2026

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Directions to “CARY COPELAND DPM INC ” Practice Location

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