Active NPIIndividual providerSole proprietor

Dr. Bruce M Backer, DPM

Healthcare Provider in Orange, Connecticut

NPI Number1073887923
Practice location
272 Charles CT, Orange, CT 06477-1629
Fax
—
Last updated
February 23, 2012

Bruce M Backer is a Healthcare Provider based in Orange, CT. Bruce M Backer practices in Orange, CT and has the professional credentials of DPM. The NPI Number for Bruce M Backer is 1073887923 and holds a License No. P00364 (CT). The current practice location address for Bruce M Backer is 272 Charles CT, Orange, CT 06477-1629 and can be reached out via phone at 203-494-5917.

Provider Profile Details

NPI Number
1073887923
Provider Name
Bruce M Backer
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
272 Charles CT, Orange, CT 06477-1629
Phone Number
203-494-5917
Primary Taxonomy
Healthcare Provider · 213ES0131X
Sole Proprietor
Yes
Provider Enumeration Date
February 23, 2012
Last Update Date
February 23, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
272 Charles CT
Orange, CT 06477-1629
City
Orange
Zip
06477-1629
Phone Number
203-494-5917
Orange, CT 06477Get directions →

Provider Business Mailing Address Details

Address
272 Charles CT
Orange, CT 06477-1629
City
Orange
State
CT
Zip
06477-1629

License Information

License Number
P00364
License State
CT
Taxonomy
· 213ES0131X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Bruce M Backer, DPM?

The NPI number of Dr. Bruce M Backer, DPM is 1073887923. It was assigned on February 23, 2012 and is currently active in the NPPES registry.

What is the specialty of Dr. Bruce M Backer, DPM?

Dr. Bruce M Backer, DPM is registered under the primary taxonomy Healthcare Provider (code 213ES0131X), licensed in CT under license number P00364.

Where does Dr. Bruce M Backer, DPM practice?

The practice location is 272 Charles CT, Orange, CT 06477-1629. The office can be reached at 203-494-5917 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073887923 directly on the NPPES registry website.

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