Brian Dale Crispell

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

SC005698 Issued in 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

Last updated

Jun 13, 2014By 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 4

Addresses

Other names 1

• Brian Crispell Professional name

Medicare fee-for-service enrollment

Enrolled in PA

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

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.Group PAC ID 2961400999, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Main Line Health Home Care & Hospice - Home Health Home health agency, Radnor, PA, CCN 397012
• Riddle Memorial Hospital Hospital, Media, PA, CCN 390222
• Bryn Mawr Hospital Hospital, Bryn Mawr, PA, CCN 390139
• Main Line Hospital Lankenau Hospital, Wynnewood, PA, CCN 390195

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.

• Delaware County Foot and Ankle Center, P.C.

  • Primary Podiatric Medicine Podiatrist
  • Folsom, PA
  • NPI 1013097484
  Medicare reassignment Care Compare group NPD
• Brian Crispell D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Media, PA
  • NPI 1437580123
  Authorized official Same address or phone

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Main Line Hospitals, Inc.

  dba Lankenau Hospital

  • General Acute Care Hospital
  • Wynnewood, PA
  • NPI 1245335629
  Care Compare affiliation
• Main Line Hospitals, Inc.

  dba Bryn Mawr Hospital

  • General Acute Care Hospital
  • Bryn Mawr, PA
  • NPI 1508971441
  Care Compare affiliation
• Riddle Memorial Hospital

  • General Acute Care Hospital
  • Media, PA
  • NPI 1407856099
  Care Compare affiliation

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402617600000",
    "number": "1306806765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 GREEN ST",
            "address_2": "APT 8",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191303143",
            "telephone_number": "610-334-7657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1078 W BALTIMORE PIKE",
            "address_2": "RIDDLE HEALTH CENTER 1, SUITE 209",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635105",
            "telephone_number": "610-334-7657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISPELL",
        "first_name": "BRIAN",
        "middle_name": "DALE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2014-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC005698",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "PA",
            "license": "SC005698",
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "PA",
            "license": "SC005698",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC005698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIAN",
            "last_name": "CRISPELL",
            "credential": "D.P.M",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Deana Crawford
• Mary Elizabeth Crawford, MPT
• Lawrence Bernard Creamer Jr., CAADC
• Gina Creatura, PHD
• Ashli Crew-Rodriguez, C-FSD
• Gabrielle Cromley
• Priana Cromwell
• Joanne Crossan
• Barbara Grajcar Crowe, DC
• Crozer Keystone Health Center (Crozer)

• Foot & Ankle Surgery Podiatrist in Media, PA
• Providers in Media, PA by specialty
• Foot & Ankle Surgery Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2014; 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.