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

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NPI Details

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment			No
2	213E00000X	Podiatrist		N002732	NEW YORK	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
1	0594090001	MEDICARE NSC	NEW YORK
2	00401890	MEDICAID	NEW YORK
3	50550A	MEDICARE PIN	NEW YORK
4	CM7254	MEDICARE PIN	NEW 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: 11/21/2025

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