Alan G. Krantz, D.P.M., P.C.
Organization Active NPI Podiatrist · Brockton, MA
NPI 1346443868 · NPPES record last updated May 21, 2012
Key facts
- NPI
- 1346443868
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Podiatrist 213E00000X
- License
- 1569 (MA)
- Legal business name
- ALAN G. KRANTZ, D.P.M., P.C.
- Practice address
- 400 West St
Brockton, MA 02301-4170 - Phone
- (508) 587-9500
- Fax
- (508) 580-6869
- NPI assigned
- Jun 11, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Alan G Krantz, DPM
- Title
- President
- Phone
- (508) 587-9500
Practitioners 2
-
Alan G Krantz, D.P.M.
-
Daniel David Winkler, DMD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060405000377 | MA | Part B Supplier - Clinic/Group Practice | 9830107606 |
Receives reassigned benefits from 1 practitioner Practice locations: Brockton, MA |
National Provider Directory
Locations
400 West St
Brockton, MA 02301
Phone (508) 587-9500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist |
213E00000X | 1569 | MA | Yes |
Addresses
Primary practice location
400 West St
Brockton, MA 02301-4170
Mailing address
400 West St
Brockton, MA 02301-4170
Phone (508) 587-9500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y77100 | Other | MA | BLUE SHIELD GROUP |
Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2012. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.