BRIAN THOMAS PEKAREK DPM NPI 1538108675

NPI Information

NPI: 1538108675
Provider Name: BRIAN THOMAS PEKAREK, DPM
Classification: Podiatrist - 213E00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
47 PENNY LN STE 1
WATSONVILLE, CA
ZIP 95076
Phone: (831) 728-8844
Get Directions

Brian Thomas Pekarek, DPM is a podiatrist in Watsonville, CA. 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. Brian Thomas Pekarek, DPM NPI is 1538108675. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

47 PENNY LN STE 1
WATSONVILLE, CA
ZIP 95076-055
Phone: (831) 728-8844
Fax: (831) 763-1001

The NPI 1538108675 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 6/5/2006 and was last updated on 8/31/2016.

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	213E00000X	Podiatrist		278	ALABAMA	No
2	213ES0103X	Podiatrist	Foot & Ankle Surgery	278	ALABAMA	No
3	213ES0103X	Podiatrist	Foot & Ankle Surgery	36 003501	OHIO	No
4	213E00000X	Podiatrist		E5177	CALIFORNIA	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	Other Provider Identifier Issuer
1	051556220	MEDICAID	ALABAMA
2	051556220	MEDICARE ID-TYPE UNSPECIFIED	ALABAMA
3	4310000001	MEDICARE NSC	OHIO
4	1563848	OTHER	OHIO	MEDICAID GROUP
5	9312431	MEDICARE PIN	OHIO
6	CH5179	OTHER	OHIO	RR MEDICARE GROUP
7	V05525	MEDICARE UPIN	ALABAMA

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

NPI Synchronization or Removal

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