Active NPI
Bryan G. Popovici, DPM, PC
- Podiatrist
- Liverpool, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- NOO3830
- Legal business name
- BRYAN G. POPOVICI, DPM, PC
- Practice address
- 7304 Oswego Rd
Liverpool, NY 13090-3718 - Phone
- (315) 451-8256
- Fax
- (315) 451-2335
- NPI assigned
- May 15, 2008
- Last updated
- Mar 16, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bryan G. Popovici, DPM
- Title
- Podiatrist
- Phone
- (315) 451-8256
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | NOO3830 | NY | Primary |
Addresses
Primary practice location
7304 Oswego Rd
Liverpool, NY 13090-3718
Mailing address
7304 Oswego Road
Liverpool, N.Y. 13090
UM
Phone (315) 451-8256
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0061216 | Other | NY | GHI |
| 57106 | Other | HEALTHNET | |
| 480005715 | Other | TRAVELERS MEDICARE | |
| 5219121 | Other | AETNA | |
| 040426015156 | Other | FIDELIS | |
| 100007266502 | Other | NY | AMERICHOICE/UNITED HEALTHCARE |
| 6813 | Other | TOTAL CARE | |
| 00920594 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
7304 Oswego Rd
Liverpool, NY 13090
Phone (315) 451-8256
618 State St
Watertown, NY 13601
Phone (315) 782-0026
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Podiatrist
- Liverpool, NY
- NPI 1508834524
-
- Foot Surgery Podiatrist
- Liverpool, NY
- NPI 1457301517
-
- Podiatrist
- Reisterstown, MD
- NPI 1083674659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1268697600000",
"number": "1033386206",
"addresses": [
{
"country_code": "UM",
"country_name": "United States Minor Outlying Islands",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "7304 OSWEGO ROAD",
"city": "LIVERPOOL",
"state": "N.Y.",
"postal_code": "13090",
"telephone_number": "315-451-8256",
"fax_number": "315-451-2335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7304 OSWEGO RD",
"city": "LIVERPOOL",
"state": "NY",
"postal_code": "130903718",
"telephone_number": "315-451-8256",
"fax_number": "315-451-2335"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRYAN G. POPOVICI, DPM, PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-15",
"last_updated": "2010-03-16",
"status": "A",
"authorized_official_last_name": "POPOVICI",
"authorized_official_first_name": "BRYAN",
"authorized_official_middle_name": "G.",
"authorized_official_title_or_position": "PODIATRIST",
"authorized_official_telephone_number": "315-451-8256",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "NOO3830",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0061216",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "57106",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRAVELERS MEDICARE",
"identifier": "480005715",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5219121",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS",
"identifier": "040426015156",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE/UNITED HEALTHCARE",
"identifier": "100007266502",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TOTAL CARE",
"identifier": "6813",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00920594",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Liverpool, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.