Provider Type Icon

BRUCE A PECKAGE DPM PC NPI 1356530190


NPI Information

NPI: 1356530190
Provider Name: BRUCE A PECKAGE DPM PC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
995 STATE ST
ALBANY, NY
ZIP 12203
Phone: (518) 438-3544
Get Directions

BRUCE A PECKAGE DPM PC is a podiatrist in Albany, NY. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. BRUCE A PECKAGE DPM PC NPI is 1356530190. The provider is registered as an organization entity type.

The provider's business location address is:

995 STATE ST
ALBANY, NY
ZIP 12203-611
Phone: (518) 438-3544
Fax: (518) 438-4292

The provider's authorized official is Bruce A Peckage .
The authorized official title is President and has the following contact phone number (518) 438-3544.

The enumeration date for this NPI number is 10/17/2007 and was last updated on 12/10/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentNo
2213E00000XPodiatristN002732NEW YORKYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10594090001MEDICARE NSCNEW YORK
200401890MEDICAIDNEW YORK
350550AMEDICARE PINNEW YORK
4CM7254MEDICARE PINNEW YORK

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.