DR. BRUCE W KRELL (NPI# 1831149103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831149103 |
| Entity Type | Individual |
| Full Name | DR. BRUCE W KRELL |
| Credential | DPM |
| Practice Address |
725 S Dobson Rd Ste 203 Chandler AZ 85224-5680 |
| Practice Telephone | 4808078532 |
| Practice Fax Number | 4808070420 |
| Mailing Telephone | 4808078532 |
| Mailing Fax Number | 4808070420 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2014-01-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
AZ00316 | AZ | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
0316 | AZ | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | DEPT OF LABOR OWCP | 609973800 | 01 |
| AZ | 69965001 | 05 | |
| AZ | BLUE CROSS/BLUE SHIELD | AZ0191480 | 01 |
| Street Address |
725 S DOBSON RD STE 203 |
| City | CHANDLER |
| State | AZ |
| Zip Code | 85224-5680 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689678567 | Barbara Galutia Regis | Physician Assistant | 725 S Dobson Rd, Ste 103, Chandler, AZ 85224-5676 | 2005-06-09 |
| 1538560107 | Kimberly Jared | Physician Assistant | 725 S Dobson Rd, Ste 200, Chandler, AZ 85224-5679 | 2014-09-15 |
| 1972912699 | Arizona Spine and Pain Specialists LLC | Durable Medical Equipment & Medical Supplies | 725 S Dobson Rd, Ste 100, Chandler, AZ 85224-5680 | 2014-08-06 |
| 1124442199 | Daryl Potter | Nurse Practitioner | 725 S Dobson Rd, Ste 100, Chandler, AZ 85224-5680 | 2014-02-12 |
| 1417296310 | Vanessa Michael | Physician Assistant | 725 S Dobson Rd, Ste 200, Chandler, AZ 85224-5680 | 2013-02-12 |
| 1760733455 | Smi Imaging, LLC | Radiology | 725 S Dobson Rd, Suite 105, Chandler, AZ 85224-5680 | 2012-09-21 |
| 1902180656 | Hilary Kristin Reznick | Physician Assistant | 725 S Dobson Rd, St 200, Chandler, AZ 85224-5680 | 2011-09-29 |
| 1144510298 | Neal Varughese | Specialist | 725 S Dobson Rd, Suite 200, Chandler, AZ 85224-5680 | 2011-04-11 |
| 1669700993 | Premier Cardiovascular Center, Plc | Internal Medicine | 725 S Dobson Rd, Suite 100, Chandler, AZ 85224-5680 | 2009-11-24 |
| 1669634200 | Neil F Fernandes | Dermatology | 725 S Dobson Rd, Ste 200, Chandler, AZ 85224-5680 | 2008-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245878859 | Optum Infusion Services 308, LLC | Durable Medical Equipment & Medical Supplies | 460 S. Benson Lane, Ste. 11-12, Chandler, AZ 85224 | 2019-12-13 |
| 1073172037 | Brennan Allen | Dentist | 610 N Alma School Rd Ste 4, Chandler, AZ 85224 | 2019-06-12 |
| 1518525237 | Rachel Kelly Mador-house | Genetic Counselor, MS | 685 & 695 S Dobson Rd, Chandler, AZ 85224 | 2019-05-29 |
| 1780249748 | Julia Solomon, Md | Obstetrics & Gynecology | 1725 West Frye Road, Suite 120, Chandler, AZ 85224 | 2019-05-06 |
| 1487118717 | Litonrx LLC | Pharmacy | 2080 N. Dobson Road, Suite 3, Chandler, AZ 85224 | 2019-01-31 |
| 1528556495 | Stone Med, LLC | Physical Medicine & Rehabilitation | 77 S Dobson Rd., Phoenix, AZ 85224 | 2018-04-26 |
| 1144739079 | Four Peaks Anesthesia Consultants, LLC | Anesthesiology | 1900 W Chandler Blvd Ste 15-257, Chandler, AZ 85224 | 2017-09-22 |
| 1275061350 | Whitney Carter | Behavioral Analyst | 3200 N Dobson Rd Ste F-1, Chandler, AZ 85224 | 2017-06-01 |
| 1528509171 | Angela M. Navarrete | Specialist/Technologist, Other | 1586 W Maggio Way Apt 2005, 2005, Chandler, AZ 85224 | 2017-03-15 |
| 1063958288 | Glover Family Medical, LLC | Clinic/Center | 901 S Alma School Rd, Apt. 20, Chandler, AZ 85224 | 2017-01-11 |
| Find all providers in zip 85224 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740664473 | Aldijan Sabic | Podiatrist | 595 N Dobson Rd Ste 71, Chandler, AZ 85224 | 2015-07-13 |
| 1487050720 | Lara Whitford | Podiatrist | 1831 E Queen Creek Rd Ste 119, Chandler, AZ 85286-2019 | 2014-11-14 |
| 1093125726 | Mark Little | Podiatrist | 1528 E Canyon Way, Chandler, AZ 85249-4742 | 2014-05-02 |
| 1053461053 | Floyd I Miller | Podiatrist | 2175 N Alma School Rd Ste C109, Chandler, AZ 85224-2880 | 2007-01-11 |
| 1700860715 | Keith Alan Goss | Podiatrist | 3042 W. Queek Creek Rd., Chandler, AZ 85286-0038 | 2005-12-02 |
| 1104270024 | Jared Edward Leber | Podiatrist | 1831 E Queen Creek Rd, Chandler, AZ 85286-2019 | 2016-04-17 |
| 1306200613 | Lauren Wurster | Podiatrist | 1831 E Queen Creek Rd Ste 119, Chandler, AZ 85286-2019 | 2016-04-12 |
| 1073976833 | Shannon Ganley | Podiatrist | 1831 E Queen Creek Rd, Chandler, AZ 85286-2019 | 2016-03-30 |
| 1033571328 | Chase Alexander Corley | Podiatrist | 1831 E Queen Creek Rd, Chandler, AZ 85286-2019 | 2016-03-24 |
| 1386050060 | Steven O'bryant | Podiatrist | 1831 E Queen Creek Rd, Building 8, Suite 119, Chandler, AZ 85286-2019 | 2014-07-02 |
| Find all providers in CHANDLER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.