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BRYCE D. JOLLEY DPM NPI 1407171390


NPI Information

NPI: 1407171390
Provider Name: BRYCE D. JOLLEY, DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
47647 CALEO BAY DR
STE 110
LA QUINTA, CA
ZIP 92253
Phone: (760) 771-8260
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Bryce D. Jolley, DPM is a foot and ankle surgery podiatrist in La Quinta, CA with 14 years of experience. Bryce D. Jolley, DPM NPI is 1407171390. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduation Year:2010

The provider's business location address is:

47647 CALEO BAY DR
STE 110
LA QUINTA, CA
ZIP 92253-857
Phone: (760) 771-8260
Fax: (760) 564-1418

The NPI 1407171390 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of skin and tissue first 20 sq cm or less (HCPCS:11042)
  • Removal of skin and tissue (HCPCS:11045)
  • Management and supervision of oxygen chamber therapy per session (HCPCS:99183)
  • Removal of tissue from wounds per session (HCPCS:97597)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Removal of tissue from 6 or more finger or toe nails (HCPCS:11721)

The enumeration date for this NPI number is 4/2/2010 and was last updated on 2/16/2021.


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
1213E00000XPodiatrist000875IOWANo
2213ES0103XPodiatristFoot & Ankle SurgeryE5582CALIFORNIAYes

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.