NPI 1609874056 · live from the CMS NPI Registry
Marc S Bruell, DPM
Podiatrist in Chesterton, IN. National Provider Identifier 1609874056, active.
NPI record
| NPI | 1609874056 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 601 Gateway Blvd N, Chesterton, IN 46304 |
| Practice phone | 219-921-1444 |
| Enumerated | July 11, 2005 |
| Last updated | March 19, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist primary | 213E00000X | 0700687A (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.