Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Port Washington Podiatry Inc

Organization Podiatrist · NPI 1013953926

Port Washington Podiatry Inc provides Podiatrist services in Port Washington, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1317 W Grand Avenue Port Washington Podiatry
Port Washington, WI 53074 Not confirmed with CMS for 18 years — call before visiting
Phone: (262) 284-8800
Fax: (262) 284-8861
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 798025 (WI)

Record details

NPI number1013953926
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Bongiorno — President · (262) 284-8800
NPI enumeratedJune 20, 2006
Last updated in NPPESApril 20, 2008
Mailing address2132 Willow Pond Way, Grafton, WI 53024-9102

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