Active NPI
Bruce R. Ganey, Inc.
- Foot Surgery Podiatrist
- Orefield, PA
National Provider Identifier
1508086778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- SC003495L
- Legal business name
- BRUCE R. GANEY, INC.
- Practice address
- 5074 Kernsville Rd.
Orefield, PA 18069-0267 - Phone
- (610) 366-8637
- Fax
- (610) 366-7745
- NPI assigned
- Apr 27, 2007
- Last updated
- Feb 13, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bruce R. Ganey, D.P.M.
- Title
- President
- Phone
- (610) 366-8637
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | SC003495L | PA | Primary |
Addresses
Primary practice location
5074 Kernsville Rd.
Orefield, PA 18069-0267
Mailing address
PO Box 267
5074 Kernsville Rd.
Orefield, PA 18069-0267
Phone (610) 366-8637
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SC003495L | Other | PA | LICENSE |
| 001234327 | Medicaid | PA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177632000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202860800000",
"number": "1508086778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 267",
"address_2": "5074 KERNSVILLE RD.",
"city": "OREFIELD",
"state": "PA",
"postal_code": "180690267",
"telephone_number": "610-366-8637",
"fax_number": "610-366-7745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5074 KERNSVILLE RD.",
"city": "OREFIELD",
"state": "PA",
"postal_code": "180690267",
"telephone_number": "610-366-8637",
"fax_number": "610-366-7745"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRUCE R. GANEY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-27",
"last_updated": "2008-02-13",
"status": "A",
"authorized_official_last_name": "GANEY",
"authorized_official_first_name": "BRUCE",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "610-366-8637",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "PA",
"license": "SC003495L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "SC003495L",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001234327",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orefield, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.