Richard Carl Conrad, BOCPO

Primary specialty

ProsthetistTaxonomy code 224P00000X

License

PO000158 Issued in PA

Practice address

9130 Marshall Rd
Cranberry Township, PA 16066-3610

Phone

(724) 742-1050

Fax

(724) 742-1055

NPI assigned

Apr 30, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1525046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525046400000",
    "number": "1750879227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9130 MARSHALL RD",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "160663610",
            "telephone_number": "724-742-1050",
            "fax_number": "724-742-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9130 MARSHALL RD",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "160663610",
            "telephone_number": "724-742-1050",
            "fax_number": "724-742-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONRAD",
        "first_name": "RICHARD",
        "middle_name": "CARL",
        "credential": "BOCPO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-30",
        "last_updated": "2018-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "PA",
            "license": "OH000245",
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "PA",
            "license": "PO000158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetist in Cranberry Township, PA
• Providers in Cranberry Township, PA by specialty
• Prosthetist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.