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TRACY BIGELOW DO INC NPI 1760789762


NPI Information

NPI: 1760789762
Provider Name: TRACY BIGELOW, DO, INC
Classification: Orthopaedic Surgery - 207XS0106X
Entity Type: Organization

Specialization: Hand Surgery

Address:
1335 COFFEE RD
STE 100
MODESTO, CA
ZIP 95355
Phone: (209) 524-4649
Get Directions

TRACY BIGELOW, DO, INC is a hand surgery orthopaedic surgery in Modesto, CA. The provider is an orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. TRACY BIGELOW, DO, INC NPI is 1760789762. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1335 COFFEE RD
STE 100
MODESTO, CA
ZIP 95355-188
Phone: (209) 524-4649
Fax: (209) 524-7395

The provider's authorized official is Tracy L Bigelow .
The authorized official title is Owner and has the following contact phone number (209) 524-4649.

The enumeration date for this NPI number is 2/28/2011 and was last updated on 1/7/2013.


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
1207XS0106XOrthopaedic SurgeryHand Surgery20A11567CALIFORNIAYes

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
120A 11567OTHERCALIFORNIACALIFORNIA OSTEOPATHIC MEDICAL LICENSE

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

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