Bruce A Peckage, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

2732 Issued in NY

Practice address

995 State St
Albany, NY 12203-1611

Phone

(518) 438-3544

NPI assigned

Feb 18, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

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 and National Provider Directory roles.

• Bruce a Peckage DPM PC

  • Podiatrist
  • Albany, NY
  • NPI 1356530190
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1140220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224547200000",
    "number": "1558336065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "995 STATE STREET",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122031048",
            "telephone_number": "518-438-3544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 STATE ST",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122031611",
            "telephone_number": "518-438-3544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECKAGE",
        "first_name": "BRUCE",
        "middle_name": "A",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-18",
        "last_updated": "2008-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "2732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00401890",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martin Victor Pearlmon, LCSW CASAC
• Darren Pearson
• Teteisha Tianna Pearson, CRNA
• Samuel Peaslee
• Courtney Cassandra Peck, FNP-BC
• Pediatric Dentistry of Albany, PLLC
• Asia Peek, MD
• Jennifer E Pelesz, PA
• Nicole Marie Pellegrini, PA
• Annamarie Pellegrino

• Podiatrist in Albany, NY
• Providers in Albany, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.