NPIMap

Organization Active NPI

Bruce Noxon, DPM, PC

  • Foot & Ankle Surgery Podiatrist
  • Glenview, IL
National Provider Identifier
1285777912
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016004911 Issued in IL
Legal business name
BRUCE NOXON, DPM, PC
Practice address
2050 Pfingsten Rd
Suite 190
Glenview, IL 60026-1324
Phone
(847) 724-4644
Fax
(847) 724-4688
NPI assigned
Feb 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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

Authorized official

Name
Dr. Bruce Noxon, DPM
Title
Owner
Phone
(847) 724-4644

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 016004911 IL Primary

Addresses

Primary practice location

2050 Pfingsten Rd
Suite 190
Glenview, IL 60026-1324

Mailing address

2050 Pfingsten Rd Ste 190
Glenview, IL 60026-1377
Phone (847) 724-4644

Other names 1

  • The Foot & Ankle Treatment Center Doing business as

National Provider Directory

National Provider Directory

Locations

2050 Pfingsten Rd
Ste 190
Glenview, IL 60026
Phone (847) 724-4644

2150 Pfingsten Rd
Ste 2260
Glenview, IL 60026
Phone (847) 475-8600

9669 Kenton Ave
Ste 550
Skokie, IL 60076
Phone (847) 933-1773

521 Green Bay Rd
Fl 2
Wilmette, IL 60091
Phone (847) 724-4864

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600041600000",
    "number": "1285777912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 PFINGSTEN RD STE 190",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600261377",
            "telephone_number": "847-724-4644",
            "fax_number": "847-724-4688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 PFINGSTEN RD",
            "address_2": "SUITE 190",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600261324",
            "telephone_number": "847-724-4644",
            "fax_number": "847-724-4688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE NOXON, DPM, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A",
        "authorized_official_last_name": "NOXON",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-724-4644",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016004911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Foot & Ankle Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Foot & Ankle Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glenview, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; 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.