Active NPI
Bruce R Werber, DPM
- Foot & Ankle Surgery Podiatrist
- Scottsdale, AZ
National Provider Identifier
1154315174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 624
- Practice address
- 9188 E San Salvador Dr
Suite 201
Scottsdale, AZ 85258-5562 - Phone
- (602) 405-3247
- Fax
- (888) 232-6750
- NPI assigned
- Sep 6, 2005
- Last updated
- Jul 21, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | DPM00200 | RI | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 624 | AZ | Primary |
Addresses
Primary practice location
9188 E San Salvador Dr
Suite 201
Scottsdale, AZ 85258-5562
Mailing address
4782 N 53Rd St
Phoenix, AZ 85018-1955
Phone (602) 750-1146
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 961202 | Medicaid | AZ | |
| 21286-7 | Other | RI | B/C & B/S OF RI |
| 7005207 | Medicaid | RI | |
| 002385 | Other | RI | BLUE CHIP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 624 | AZ | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Podiatric Physicians of Arizona, Inc. | Foot & Ankle Surgery | Past | Accepting new patients |
| Podiatric Physicians of Arizona, Inc. | Foot & Ankle Surgery | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Arizona Institute of Footcare Physicians
- Foot & Ankle Surgery Podiatrist
- Mesa, AZ
- NPI 1194944728
-
dba Steward Medical Group of Arizona / Podiatry
- Foot & Ankle Surgery Podiatrist
- Glendale, AZ
- NPI 1609366533
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437436800000",
"number": "1154315174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4782 N 53RD ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850181955",
"telephone_number": "602-750-1146",
"fax_number": "888-232-6750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9188 E SAN SALVADOR DR",
"address_2": "SUITE 201",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852585562",
"telephone_number": "602-405-3247",
"fax_number": "888-232-6750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WERBER",
"first_name": "BRUCE",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-06",
"last_updated": "2015-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "RI",
"license": "DPM00200",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "AZ",
"license": "624",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "961202",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "B/C & B/S OF RI",
"identifier": "21286-7",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7005207",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP",
"identifier": "002385",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.