Bruce Treadwell Croft, DPM
Individual provider Active NPI Foot Surgery Podiatrist · Holden, MA
NPI 1316914971 · NPPES record last updated May 21, 2008
Key facts
- NPI
- 1316914971
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Foot Surgery Podiatrist 213ES0131X
- License
- 1563 (MA)
- Practice address
- 795 Main St
Holden, MA 01520-3800 - Phone
- (508) 829-6645
- Fax
- (508) 829-5633
- NPI assigned
- Mar 2, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Foot Specialists,PC | Past |
Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/10393/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | 1563 | MA | Yes |
Addresses
Primary practice location
795 Main St
Holden, MA 01520-3800
Mailing address
795 Main St
Holden, MA 01520-3800
Phone (508) 829-6645
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001563 | Other | MA | TUFTS HEALTH PLAN |
| 2703028 | Other | MA | UNITED HEALTH PLAN |
| 0339415 | Medicaid | MA | |
| 5315 | Other | MA | FALLON HEALTH PLAN |
| 33234 | Other | MA | HARVARD PILGRIM HEALTH |
| 0006147 | Other | MA | NEIGHBORHOOD HEALTH PLAN |
| CRY70670 | Other | MA | BLUE SHIELD OF MA |
| S009207 | Other | MA | CHAMPUS |
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- Jennifer Cummings
- Jessica Elizabeth Cutroni
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- Steven John D'Aquila
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All providers in Holden, MA · Foot Surgery Podiatrist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.