Brian David O'Carroll in Pismo Beach - Foot & Ankle Surgery
Brian David O'Carroll - NPI 1336133768
Brian David O'Carroll is a Foot & Ankle Surgery in Pismo Beach, California. Brian David O'Carroll practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Brian David O'Carroll is 1336133768. The last update date is 2012-03-15.
Brian David O'Carroll's current location address is 911 Oak Park Blvd, Pismo Beach, California. You can contact this provider via phone number 8054819100 and fax number 8054819199. The mailing address for Brian David O'Carroll is 911 Oak Park Blvd, Pismo Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian David O'Carroll |
|---|---|
| Address | 911 Oak Park Blvd, Pismo Beach, California |
| Phone Number | 8054819100 |
| Fax Number | 8054819199 |
| Sole Proprietor | N |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1336133768 |
|---|---|
| Provider Enumeration Date | 2005-08-31 |
| Last Updated Date | 2012-03-15 |
Provider Mailing Address Detail
| Address | 911 Oak Park Blvd |
|---|---|
| City | Pismo Beach |
| State | California (CA) |
| Post Code | 934493406 |
| Phone Number | 8054819100 |
| Fax Number | 8054819199 |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
| Licence No | E4758 |
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Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 16004922 | IL | -- | |
| E4758 | CA | CA MED LICENSE | |
| 000E47580 | CA | BLUE SHIELD |
Post Comment/ Review Below
What is the unique identification code assigned to Brian David O'Carroll by the Centers for Medicare & Medicaid Services?
The Brian David O'Carroll has been issued the NPI (National Provider Identifier) 1336133768. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Brian David O'Carroll is physically located?
The Brian David O'Carroll is situated at the following address: 911 Oak Park Blvd, Pismo Beach, CA 934493406.
What is the Brian David O'Carroll's area of specialization and corresponding taxonomy classification?
The Brian David O'Carroll's specialty field is Foot & Ankle Surgery, and it falls under the taxonomy code 213Es0103X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1336133768 to Brian David O'Carroll?
The Centers for Medicare & Medicaid Services assigned the 1336133768 to Brian David O'Carroll on 2005-08-31.
When was the Brian David O'Carroll's information last updated?
The Brian David O'Carroll's information was last updated on 2012-03-15.