Individual provider Active NPI

Alan G Krantz, D.P.M.

  • Podiatrist
  • Brockton, MA
National Provider Identifier
1720054547
Registry record updated Dec 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1569 Issued in MA
Practice address
400 West St
Brockton, MA 02301-4170
Phone
(508) 587-9500
Fax
(508) 580-6869
NPI assigned
Feb 23, 2006
Last updated
Dec 5, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 1569 MA Primary

Addresses

Primary practice location

400 West St
Brockton, MA 02301-4170

Mailing address

400 West St
Brockton, MA 02301-4170
Phone (508) 587-9500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20060411000225 MA Practitioner - Podiatry 0547279192 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Illinois Medical College, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

400 W St
Brockton, MA 02301-4170
Phone (508) 587-9500

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue94
Removal of skin lesions61
Removal of nail tissue520
Removal or shaving of skin growth240
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1569MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Alan G. Krantz, D.P.M., P.C. Podiatrist CurrentSince Oct 1, 1980 Accepting new patients

Locations

400 West St
Brockton, MA 02301
Phone (508) 587-9500

400 West St
Ste 2
Brockton, MA 02301
Phone (508) 586-0540

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BBHCAA/Endpoint/BBHCAA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354665600000",
    "number": "1720054547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 WEST ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023014170",
            "telephone_number": "508-587-9500",
            "fax_number": "508-580-6869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WEST ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023014170",
            "telephone_number": "508-587-9500",
            "fax_number": "508-580-6869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRANTZ",
        "first_name": "ALAN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2012-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MA",
            "license": "1569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

Verify at the official NPI Registry.