Brad W. Ruetenik, DPM, Inc.

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

License

E3866 Issued in CA

Legal business name

BRAD W. RUETENIK, DPM, INC.

Practice address

1011 Devonshire Dr
Suite F
Encinitas, CA 92024-5136

Phone

(760) 753-1804

Fax

(760) 942-1895

NPI assigned

Mar 13, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Brad W. Ruetenik, DPM

Title

President

Phone

(760) 753-1804

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331596800000",
    "number": "1861767584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 S HIGHWAY 101",
            "address_2": "SUITE 408",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920751807",
            "telephone_number": "760-753-1804",
            "fax_number": "760-942-1895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 DEVONSHIRE DR",
            "address_2": "SUITE F",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245136",
            "telephone_number": "760-753-1804",
            "fax_number": "760-942-1895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAD W. RUETENIK, DPM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-13",
        "last_updated": "2012-03-13",
        "status": "A",
        "authorized_official_last_name": "RUETENIK",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-753-1804",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "CA",
            "license": "E3866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Jayne Borlenghi, PSY.D
• Carrie Lee Borwell, CMT
• Owen Bowers, M.D.
• Mariette Boyce, PH.D.
• Brittany Hope Boyd, DO
• Katelyn Anne Brady, PMHNP-BC
• Kristine Lynn Brady, PHD
• Anne Elizabeth Brantman, RN CNS NP
• Amanda Rae Brattebo
• Gary J Braunstein, DDS

• Podiatric Clinic/Center in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Podiatric Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; 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.