Provider Type Icon

DR. BRYAN DEWITT CALDWELL DPM NPI 1366448680


NPI Information

NPI: 1366448680
Provider Name: DR. BRYAN DEWITT CALDWELL, DPM
Classification: Podiatrist - 213E00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
4415 EUCLID AVE STE 110
CLEVELAND, OH
ZIP 44103
Phone: (216) 231-5612
Get Directions

DR. Bryan Dewitt Caldwell, DPM is a podiatrist in Cleveland, OH with 35 years of experience. 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. DR. Bryan Dewitt Caldwell, DPM NPI is 1366448680. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduation Year:1989

The provider's business location address is:

4415 EUCLID AVE STE 110
CLEVELAND, OH
ZIP 44103-759
Phone: (216) 231-5612
Fax: (216) 721-5534

The NPI 1366448680 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 6/22/2005 and was last updated on 2/20/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatrist36 002681OHIOYes

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
1CH5179OTHEROHIORR MEDICARE GROUP
24310000001MEDICARE NSCOHIO
30766954MEDICARE PINOHIO
4U18695MEDICARE UPINOHIO
59312431MEDICARE PINOHIO
61563848OTHEROHIOMEDICAID GROUP
70982227MEDICAIDOHIO

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.