DR. BRONSON DELBERT STANLEY DPM NPI 1982227567

NPI Information

NPI: 1982227567
Provider Name: DR. BRONSON DELBERT STANLEY, DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
1701 N SENATE BLVD
INDIANAPOLIS, IN
ZIP 46202
Phone: (317) 944-9400
Get Directions

DR. Bronson Delbert Stanley, DPM is a foot and ankle surgery podiatrist in Indianapolis, IN with 4 years of experience. DR. Bronson Delbert Stanley, DPM NPI is 1982227567. 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:

1701 N SENATE BLVD
INDIANAPOLIS, IN
ZIP 46202-239
Phone: (317) 944-9400
Fax: (317) 963-1955

The NPI 1982227567 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 enumeration date for this NPI number is 5/18/2020 and was last updated on 9/29/2023.

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	390200000X	Student in an Organized Health Care Education/Training Program		59.000863	OHIO	No
2	213ES0103X	Podiatrist	Foot & Ankle Surgery	07001424A	INDIANA	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	264430H46	OTHER	INDIANA	MEDICARE PTAN
2	300077686	MEDICAID	INDIANA

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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