Edward J Nebel, M.D. PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

EN027615 Issued in MI

Legal business name

EDWARD J NEBEL, M.D. PC

Practice address

2615 Electric Ave
Suite a
Port Huron, MI 48060-6575

Phone

(810) 982-9911

Fax

(810) 985-7740

NPI assigned

Jan 19, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Edward J Nebel, M.D.

Title

Owner

Phone

(810) 982-9911

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1263859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263859200000",
    "number": "1073844841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 ELECTRIC AVE",
            "address_2": "SUITE A",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480606575",
            "telephone_number": "810-982-9911",
            "fax_number": "810-985-7740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 ELECTRIC AVE",
            "address_2": "SUITE A",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480606575",
            "telephone_number": "810-982-9911",
            "fax_number": "810-985-7740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD J NEBEL, M.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-19",
        "last_updated": "2010-01-19",
        "status": "A",
        "authorized_official_last_name": "NEBEL",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-982-9911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "EN027615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MICHIGAN",
            "identifier": "0741076",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2887650",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Orthopaedic Surgery Physician in Port Huron, MI
• Providers in Port Huron, MI by specialty
• Orthopaedic Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.