Active NPIIndividual provider

Brian S Sullivan, DPM

Podiatrist, Foot & Ankle Surgery in Springfield, New Jersey

NPI Number1265469209
Practice location
100 Morris Ave, Ste 304, Springfield, NJ 07081-1427
Fax
973-258-0123
Last updated
December 2, 2019

Brian Scott Sullivan is a Podiatrist, Foot & Ankle Surgery based in Springfield, NJ. Brian Scott Sullivan practices in Springfield, NJ and has the professional credentials of DPM. The NPI Number for Brian Scott Sullivan is 1265469209 and holds a License No. 25MD00275100 (NJ). The current practice location address for Brian Scott Sullivan is 100 Morris Ave, Ste 304, Springfield, NJ 07081-1427 and can be reached out via phone at 973-258-0111 and via fax at 973-258-0123.

Provider Profile Details

NPI Number
1265469209
Provider Name
Brian Scott Sullivan
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
100 Morris Ave, Ste 304, Springfield, NJ 07081-1427
Phone Number
973-258-0111
Fax Number
973-258-0123
Primary Taxonomy
Podiatrist, Foot & Ankle Surgery · 213ES0103X
Sole Proprietor
No
Provider Enumeration Date
June 26, 2006
Last Update Date
December 2, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 Morris Ave
Ste 304
Springfield, NJ 07081-1427
Zip
07081-1427
Phone Number
973-258-0111
Fax Number
973-258-0123
Springfield, NJ 07081Get directions →

Provider Business Mailing Address Details

Address
100 Morris Ave
Ste 304
Springfield, NJ 07081-1427
City
Springfield
State
NJ
Zip
07081-1427
Phone Number
973-258-0111
Fax Number
973-258-0122

License Information

License Number
25MD00275100
License State
NJ
Taxonomy
Podiatrist, Foot & Ankle Surgery · 213ES0103X · Primary

Legacy Identifiers

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

Other Podiatrist, Foot & Ankle Surgery providers near Springfield, NJ

View all Podiatrist, Foot & Ankle Surgery providers in Springfield →

Frequently Asked Questions

What is the NPI number of Brian S Sullivan, DPM?

The NPI number of Brian S Sullivan, DPM is 1265469209. It was assigned on June 26, 2006 and is currently active in the NPPES registry.

What is the specialty of Brian S Sullivan, DPM?

Brian S Sullivan, DPM is registered under the primary taxonomy Podiatrist, Foot & Ankle Surgery (code 213ES0103X), licensed in NJ under license number 25MD00275100.

Where does Brian S Sullivan, DPM practice?

The practice location is 100 Morris Ave, Ste 304, Springfield, NJ 07081-1427. The office can be reached at 973-258-0111 (phone) or 973-258-0123 (fax).

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 1265469209 directly on the NPPES registry website.

Browse related providers