NPI 1487647277 · live from the CMS NPI Registry
Bruce J Brincko, D.P.M.
Podiatrist, Foot & Ankle Surgery in Crown Point, IN. National Provider Identifier 1487647277, active.
NPI record
| NPI | 1487647277 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 1275 E North St, Crown Point, IN 46307 |
| Practice phone | 219-663-9446 |
| Enumerated | August 26, 2005 |
| Last updated | March 10, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Sports Medicine | 213ES0000X | 07000514 (IN) |
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | 07000514 (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.