Brian Dale Crispell
Individual provider Active NPI Foot & Ankle Surgery Podiatrist · Media, PA
NPI 1306806765 · NPPES record last updated Jun 13, 2014
Key facts
- NPI
- 1306806765
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- License
- SC005698 (PA)
- Practice address
- 1078 W Baltimore Pike
Riddle Health Center 1, Suite 209
Media, PA 19063-5105 - Phone
- (610) 334-7657
- NPI assigned
- Mar 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- Temple University School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Delaware County Foot and Ankle Center, P.C.
Practice addresses (Care Compare)
100 Granite Dr
Suite 4
Media, PA 19063-5170
Phone (610) 334-7657
550 Macdade Blvd
Folsom, PA 19033-2308
Phone (610) 534-7990
Hospital & facility affiliations
- Main Line Health Home Care & Hospice - Home Health
- Riddle Memorial Hospital
- Bryn Mawr Hospital
- Main Line Hospital Lankenau
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 69 |
| Removal of nail tissue | 75 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060410000523 | PA | Practitioner - Podiatry | 8426067000 |
Reassigns benefits to 1 organization Practice locations: Media, PA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC005698 | PA | MD | Sports Medicine Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delaware County Foot and Ankle Center, P.C. | Podiatrist | Current |
Accepting new patients |
Locations
550 Macdade Blvd
Folsom, PA 19033
Phone (610) 534-7990
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | SC005698 | PA | |
| Primary Podiatric Medicine Podiatrist | 213EP1101X | SC005698 | PA | |
| Sports Medicine Podiatrist | 213ES0000X | SC005698 | PA | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | SC005698 | PA | Yes |
Addresses
Primary practice location
1078 W Baltimore Pike
Riddle Health Center 1, Suite 209
Media, PA 19063-5105
Mailing address
2301 Green St
Apt 8
Philadelphia, PA 19130-3143
Phone (610) 334-7657
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1015531700005 | Medicaid | PA | |
| 329832 | Other | PA | MEDICARE PTAN |
Other names
- Brian Crispell
Other providers in Media, PA
- Deana Crawford
- Mary Elizabeth Crawford
- Lawrence Bernard Creamer Jr.
- Gina Creatura
- Ashli Crew-Rodriguez
- Gabrielle Cromley
- Priana Cromwell
- Joanne Crossan
- Barbara Grajcar Crowe
- Crozer Keystone Health Center
All providers in Media, PA · Foot & Ankle Surgery Podiatrist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.