Brett Roeder in Gilbert - Podiatrist

Brett Roeder - NPI 1134116700

Brett Roeder is a Podiatrist in Gilbert, Arizona. Brett Roeder practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Brett Roeder is 1134116700. The last update date is 2011-06-20.

Brett Roeder's current location address is 1501 N Gilbert Rd Ste 120, Gilbert, Arizona. You can contact this provider via phone number 4805077560 and fax number 4805077509. The mailing address for Brett Roeder is 1501 N Gilbert Rd Ste 120, Gilbert, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Brett Roeder
Address 1501 N Gilbert Rd Ste 120, Gilbert, Arizona
Phone Number 4805077560
Fax Number 4805077509
Sole Proprietor N
Credentials DPM

NPI Number Detail

NPI Number 1134116700
Provider Enumeration Date 2005-09-29
Last Updated Date 2011-06-20

Provider Mailing Address Detail

Address 1501 N Gilbert Rd Ste 120
City Gilbert
State Arizona (AZ)
Post Code 852342393
Phone Number 4805077560
Fax Number 4805077509

Provider's Primary Taxonomy Detail

Speciality Podiatrist
Taxonomy 213E00000X
Licence No 497
Definition:
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1231210001 AZ --
919110 AZ --
AZ0195600 AZ BLUE CROSS BLUE SHIELD

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FAQs about Brett Roeder

What is the unique 10-digit identification code assigned to Brett Roeder by the Centers for Medicare & Medicaid Services?

The Brett Roeder has been issued the NPI (National Provider Identifier) 1134116700, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Brett Roeder?

The Brett Roeder is situated at 1501 N Gilbert Rd Ste 120, in the city of Gilbert, state of AZ, with the zip code 852342393.

What is Brett Roeder's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Brett Roeder is Podiatrist, and the taxonomy code that classifies this field of practice is 213E00000X.

On what date did Brett Roeder receive its 1134116700 assignment from the Centers for Medicare & Medicaid Services?

The Brett Roeder was assigned its 1134116700 on 2005-09-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Brett Roeder last refreshed?

The information related to the Brett Roeder, including its address, specialty, and other relevant details, was last updated on 2011-06-20.

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