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DR. PROUSKEH BRUCE EBRAHIMPOUR M.D. NPI 1124280417


NPI Information

NPI: 1124280417
Provider Name: DR. PROUSKEH BRUCE EBRAHIMPOUR, M.D.
Classification: Orthopaedic Surgery - 207XS0114X
Entity Type: Individual

Specialization: Adult Reconstructive Orthopaedic Surgery

PECOS Registration: Yes

Address:
6550 E 2ND ST
CASPER, WY
ZIP 82609
Phone: (307) 266-4000
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DR. Prouskeh Bruce Ebrahimpour, M.D. is an adult reconstructive orthopaedic surgery orthopaedic surgery in Casper, WY with 20 years of experience. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. DR. Prouskeh Bruce Ebrahimpour, M.D. NPI is 1124280417. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2004

The provider's business location address is:

6550 E 2ND ST
CASPER, WY
ZIP 82609-321
Phone: (307) 266-4000
Fax: (307) 266-4545

The NPI 1124280417 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), Power Mobility Devices.

The enumeration date for this NPI number is 6/27/2008 and was last updated on 1/20/2017.


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
1207XS0114XOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery10548AWYOMINGYes

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.