GARY DAVID SMALL DPM NPI 1326152810

NPI Information

NPI: 1326152810
Provider Name: GARY DAVID SMALL, DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

Address:
1879 HIDDEN TRAIL LN
WESTON, FL
ZIP 33327
Phone: (305) 469-9041
Get Directions

Gary David Small, DPM is a foot and ankle surgery podiatrist in Weston, FL. Gary David Small, DPM NPI is 1326152810. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1879 HIDDEN TRAIL LN
WESTON, FL
ZIP 33327-456
Phone: (305) 469-9041

The enumeration date for this NPI number is 8/19/2006 and was last updated on 11/1/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	PO-0002363	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	65318X	MEDICARE PIN
2	U46868	MEDICARE UPIN	FLORIDA
3	390143200	MEDICAID	FLORIDA
4	65318	OTHER	FLORIDA	BLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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