NPI 1962648410 · live from the CMS NPI Registry
Bradley Benton Copple, DPM
Podiatrist, Foot & Ankle Surgery in Omaha, NE. National Provider Identifier 1962648410, active.
NPI record
| NPI | 1962648410 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 7100 W Center Rd, Omaha, NE 68106 |
| Practice phone | 402-506-9127 |
| Enumerated | January 5, 2009 |
| Last updated | September 10, 2015 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery | 213ES0103X | 874 (IA) |
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | 315 (NE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.