Dr. Traci M Bologna-Jill, DPM
Podiatrist, Foot & Ankle Surgery in Providence, Rhode Island
1346746062- Practice location
- 1 Randall Sq Ste 408, Providence, RI 02904-7405
- Phone
- 401-453-2000
- Fax
- 401-253-2002
- Last updated
- December 15, 2022
Traci M Bologna-Jill is a Podiatrist, Foot & Ankle Surgery based in Providence, RI. Traci M Bologna-Jill practices in Providence, RI and has the professional credentials of DPM. The NPI Number for Traci M Bologna-Jill is 1346746062 and holds a License No. DPM00367 (RI). The current practice location address for Traci M Bologna-Jill is 1 Randall Sq Ste 408, Providence, RI 02904-7405 and can be reached out via phone at 401-453-2000 and via fax at 401-253-2002.
Provider Profile Details
- NPI Number
- 1346746062
- Provider Name
- Traci M Bologna-Jill
- Credential
- DPM
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1 Randall Sq Ste 408, Providence, RI 02904-7405
- Phone Number
- 401-453-2000
- Fax Number
- 401-253-2002
- Primary Taxonomy
- Podiatrist, Foot & Ankle Surgery · 213ES0103X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 2, 2018
- Last Update Date
- December 15, 2022
- Certification Date
- December 15, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Randall Sq Ste 408
Providence, RI 02904-7405 - City
- Providence
- State
- Rhode Island
- Zip
- 02904-7405
- Phone Number
- 401-453-2000
- Fax Number
- 401-253-2002
Provider Business Mailing Address Details
- Address
- 1 Randall Sq Ste 408
Providence, RI 02904-7405 - City
- Providence
- State
- RI
- Zip
- 02904-7405
- Phone Number
- 401-453-2000
- Fax Number
- 401-253-2002
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- DPM00367
- License State (2)
- RI
- Taxonomy (2)
- Podiatrist, Foot & Ankle Surgery · 213ES0103X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Podiatrist, Foot & Ankle Surgery providers near Providence, RI
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- Dr. Erik Haniuk, DPMPodiatrist, Foot & Ankle Surgery · NPI 1255786240
- Dr. Mark S Messana, DPMPodiatrist, Foot & Ankle Surgery · NPI 1427619568
- Dr. Tejal P Messana, DPMPodiatrist, Foot & Ankle Surgery · NPI 1255992392
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Frequently Asked Questions
What is the NPI number of Dr. Traci M Bologna-Jill, DPM?
The NPI number of Dr. Traci M Bologna-Jill, DPM is 1346746062. It was assigned on April 2, 2018 and is currently active in the NPPES registry.
What is the specialty of Dr. Traci M Bologna-Jill, DPM?
Dr. Traci M Bologna-Jill, DPM is registered under the primary taxonomy Podiatrist, Foot & Ankle Surgery (code 213ES0103X), licensed in RI under license number DPM00367.
Where does Dr. Traci M Bologna-Jill, DPM practice?
The practice location is 1 Randall Sq Ste 408, Providence, RI 02904-7405. The office can be reached at 401-453-2000 (phone) or 401-253-2002 (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 1346746062 directly on the NPPES registry website.