Dr. Bruce P Theall, DPM
Podiatrist in East Orange, New Jersey
1831187434- Practice location
- 310 Central Ave, Suite 301, East Orange, NJ 07018-2835
- Phone
- 973-673-3668
- Fax
- 862-252-9542
- Last updated
- January 9, 2009
Bruce Preston Theall is a Podiatrist based in East Orange, NJ. Bruce Preston Theall practices in East Orange, NJ and has the professional credentials of DPM. The NPI Number for Bruce Preston Theall is 1831187434 and holds a License No. 25MD00131000 (NJ). The current practice location address for Bruce Preston Theall is 310 Central Ave, Suite 301, East Orange, NJ 07018-2835 and can be reached out via phone at 973-673-3668 and via fax at 862-252-9542.
Provider Profile Details
- NPI Number
- 1831187434
- Provider Name
- Bruce Preston Theall
- Credential
- DPM
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 310 Central Ave, Suite 301, East Orange, NJ 07018-2835
- Phone Number
- 973-673-3668
- Fax Number
- 862-252-9542
- Primary Taxonomy
- Podiatrist · 213E00000X
- Sole Proprietor
- Yes
- Other Names
- Dr. Bruce Preston Theall, DPM (Professional Name)
- Provider Enumeration Date
- October 9, 2005
- Last Update Date
- January 9, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 310 Central Ave
Suite 301
East Orange, NJ 07018-2835 - City
- East Orange
- State
- New Jersey
- Zip
- 07018-2835
- Phone Number
- 973-673-3668
- Fax Number
- 862-252-9542
Provider Business Mailing Address Details
- Address
- 310 Central Ave
Suite 301
East Orange, NJ 07018-2835 - City
- East Orange
- State
- NJ
- Zip
- 07018-2835
- Phone Number
- 973-673-3668
- Fax Number
- 862-252-9542
License Information
- License Number
- 25MD00131000
- License State
- NJ
- Taxonomy
- Podiatrist · 213E00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Podiatrists near East Orange, NJ
View all Podiatrists in East Orange →- Dr. Angela K Cheng, DPMPodiatrist · NPI 1417931742
- Dr. Garfield Harford, DPMPodiatrist · NPI 1053346551
- Dr. Jasmaine N Shelford, DPMPodiatrist · NPI 1548531726
- Dr. Julia M Mccall-Mboya, DPMPodiatrist · NPI 1194769984
- Dr. Michaelangelo A Williams, DPMPodiatrist · NPI 1508836024
- Happy Feet Podiatry LLCPodiatrist · NPI 1609105626
Frequently Asked Questions
What is the NPI number of Dr. Bruce P Theall, DPM?
The NPI number of Dr. Bruce P Theall, DPM is 1831187434. It was assigned on October 9, 2005 and is currently active in the NPPES registry.
What is the specialty of Dr. Bruce P Theall, DPM?
Dr. Bruce P Theall, DPM is registered under the primary taxonomy Podiatrist (code 213E00000X), licensed in NJ under license number 25MD00131000.
Where does Dr. Bruce P Theall, DPM practice?
The practice location is 310 Central Ave, Suite 301, East Orange, NJ 07018-2835. The office can be reached at 973-673-3668 (phone) or 862-252-9542 (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 1831187434 directly on the NPPES registry website.