Active NPI
Brian Paul O'Neal, CPED
- Pedorthist
- Mesa, AZ
National Provider Identifier
1649141920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pedorthist
- License
- CPED2705
- Practice address
- 932 W Southern Ave Ste 7
Mesa, AZ 85210-4972 - Phone
- (480) 461-1940
- Fax
- (480) 461-3855
- NPI assigned
- Sep 17, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pedorthist | 224L00000X | CPED2705 | AZ | Primary |
| Prosthetist | 224P00000X | CPED2705 | AZ | |
| Orthotist | 222Z00000X | CPED2705 | AZ |
Addresses
Primary practice location
932 W Southern Ave Ste 7
Mesa, AZ 85210-4972
Mailing address
7127 E Jacob Ave
Mesa, AZ 85209-4027
Other practice location 1
301 S Power Rd Ste 101
Mesa, AZ 85206-5243
Phone (602) 772-2524
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CPED2705 | AZ | MD | Orthotist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758067200000",
"number": "1649141920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7127 E JACOB AVE",
"city": "MESA",
"state": "AZ",
"postal_code": "852094027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "932 W SOUTHERN AVE STE 7",
"city": "MESA",
"state": "AZ",
"postal_code": "852104972",
"telephone_number": "480-461-1940",
"fax_number": "480-461-3855"
}
],
"practiceLocations": [
{
"address_1": "301 S Power Rd Ste 101",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852065243",
"country_code": "US",
"telephone_number": "602-772-2524",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "O'NEAL",
"first_name": "BRIAN",
"middle_name": "PAUL",
"credential": "CPED",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-09-17",
"last_updated": "2025-09-17",
"certification_date": "2025-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "224L00000X",
"taxonomy_group": "",
"desc": "Pedorthist",
"state": "AZ",
"license": "CPED2705",
"primary": true
},
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "AZ",
"license": "CPED2705",
"primary": false
},
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "AZ",
"license": "CPED2705",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.