BRUCE W KRELL DPM PC NPI 1336317551

NPI Information

NPI: 1336317551
Provider Name: BRUCE W KRELL DPM PC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
2905 W WARNER RD
STE 26
CHANDLER, AZ
ZIP 85224
Phone: (480) 807-8532
Get Directions

BRUCE W KRELL DPM PC is a foot and ankle surgery podiatrist in Chandler, AZ. BRUCE W KRELL DPM PC NPI is 1336317551. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2905 W WARNER RD
STE 26
CHANDLER, AZ
ZIP 85224-674
Phone: (480) 807-8532
Fax: (480) 807-0420

The provider's authorized official is Bruce W Krell .
The authorized official title is President and has the following contact phone number (480) 807-8532.

The enumeration date for this NPI number is 2/11/2008 and was last updated on 2/11/2008.

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	AZ00316	ARIZONA	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	AZ0191480	OTHER	ARIZONA	BCBS AZ
2	0712920001	MEDICARE NSC	ARIZONA
3	AZ00316	OTHER	ARIZONA	STATE LICENSE
4	069965	MEDICAID	ARIZONA
5	U16791	MEDICARE PIN	ARIZONA
6	ZDPM316	MEDICARE PIN	ARIZONA
7	00014417	OTHER	ARIZONA	BANNER HEALTH INSURANCE

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: 11/14/2023

NPI Synchronization or Removal

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