Organization Active NPI

Bruce Zappan, DPM, P.C.

  • Podiatrist
  • Philadelphia, PA
National Provider Identifier
1760692172
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC001854L Issued in PA
Legal business name
BRUCE ZAPPAN, DPM, P.C.
Practice address
1601 Walnut St Ste 505
Philadelphia, PA 19102-2903
Phone
(215) 563-2560
Fax
(215) 563-1754
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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

Authorized official

Name
Cindy Bussell
Title
Billing Manager
Phone
(609) 895-9700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X SC001854L PA Primary

Addresses

Primary practice location

1601 Walnut St Ste 505
Philadelphia, PA 19102-2903

Mailing address

1601 Walnut St Ste 505
Philadelphia, PA 19102-2903
Phone (215) 563-2560

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080625000261 PA Part B Supplier - Clinic/Group Practice 4688745219 Receives reassigned benefits from 1 practitioner
Practice locations: Philadelphia, PA

National Provider Directory

National Provider Directory

Locations

1601 Walnut St
Ste 505
Philadelphia, PA 19102
Phone (215) 563-2560

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323302400000",
    "number": "1760692172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 WALNUT ST STE 505",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191022903",
            "telephone_number": "215-563-2560",
            "fax_number": "215-563-1754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 WALNUT ST STE 505",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191022903",
            "telephone_number": "215-563-2560",
            "fax_number": "215-563-1754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE ZAPPAN, DPM, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2011-12-08",
        "status": "A",
        "authorized_official_last_name": "BUSSELL",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "609-895-9700"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC001854L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.