Active NPI
Gerald L Echols, C.P.O.
- Prosthetics Case Management
- Mesa, AZ
National Provider Identifier
1295789196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- License
- 07-501426-Z
- Practice address
- 1241 E. Broadway #28
Mesa, AZ 85204-2254 - Phone
- (480) 835-0909
- Fax
- (480) 835-6501
- NPI assigned
- May 22, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | 07-501426-Z | AZ | Primary |
Addresses
Primary practice location
1241 E. Broadway #28
Mesa, AZ 85204-2254
Mailing address
1241 E. Broadway #28
Mesa, AZ 85204-2254
Phone (480) 835-0909
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ-0274950 | Other | AZ | BLUE CROSS BLUE SHIELD OF |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07-501426-Z | AZ | MD | Prosthetics Case Management |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1295789196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1241 E. BROADWAY #28",
"city": "MESA",
"state": "AZ",
"postal_code": "852042254",
"telephone_number": "480-835-0909",
"fax_number": "480-835-6501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1241 E. BROADWAY #28",
"city": "MESA",
"state": "AZ",
"postal_code": "852042254",
"telephone_number": "480-835-0909",
"fax_number": "480-835-6501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECHOLS",
"first_name": "GERALD",
"middle_name": "L",
"credential": "C.P.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-22",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "",
"desc": "Specialist, Prosthetics Case Management",
"state": "AZ",
"license": "07-501426-Z",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF",
"identifier": "AZ-0274950",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.