Bruce M Backer, D.P.M.

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

P00364 Issued in CT

Practice address

272 Charles CT
Orange, CT 06477-1629

Phone

(203) 494-5917

NPI assigned

Feb 23, 2012

Last updated

Feb 23, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

William M. Scholl College of Podiatric Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthdrive Podiatry Group PCGroup PAC ID 3375446958, 105 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Healthdrive Podiatry Group, PC

  dba HealthDrive Podiatry Group

  • Podiatrist
  • Middletown, CT
  • NPI 1770514101
  Medicare reassignment Care Compare group NPD
• Healthdrive Podiatry Group, PC

  dba HealthDrive Podiatry Group

  • Podiatrist
  • Dublin, OH
  • NPI 1689613598
  NPD

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

{
    "created_epoch": "1329955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329955200000",
    "number": "1073887923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 CHARLES CT",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064771629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 CHARLES CT",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064771629",
            "telephone_number": "203-494-5917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACKER",
        "first_name": "BRUCE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-23",
        "last_updated": "2012-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CT",
            "license": "P00364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Val Asprelli, AU.D., CCC-A
• Awp Home Care, LLC
• Awp Home Care, LLC (Senior Helpers)
• Alexandra R Azevedo
• Margaret Azzarella, DC
• Balanced Health Family Chiropractic
• Cassie Ann Baribault, R.N.
• Priscilla Barnes
• Barry Wasserman, School Psychology & Counseling Services, LLC
• Thelma V Batiancila, MD

• Foot Surgery Podiatrist in Orange, CT
• Providers in Orange, CT by specialty
• Foot Surgery Podiatrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.