Becky Kroll, MD, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A112974 Issued in CA

Legal business name

BECKY KROLL, MD, INC.

Practice address

18181 Butterfield Blvd
Suite 180
Morgan Hill, CA 95037-8112

Phone

(408) 779-7696

Fax

(408) 779-5546

NPI assigned

Aug 30, 2012

Last updated

Jul 23, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Becky S Kroll, MD

Title

President

Phone

(408) 779-7696

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374537600000",
    "number": "1942559455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18181 BUTTERFIELD BLVD",
            "address_2": "SUITE 180",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950378112",
            "telephone_number": "408-779-7696",
            "fax_number": "408-779-5546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18181 BUTTERFIELD BLVD",
            "address_2": "SUITE 180",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950378112",
            "telephone_number": "408-779-7696",
            "fax_number": "408-779-5546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BECKY KROLL, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-30",
        "last_updated": "2013-07-23",
        "status": "A",
        "authorized_official_last_name": "KROLL",
        "authorized_official_first_name": "BECKY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-779-7696",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A112974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Morgan Hill, CA
• Providers in Morgan Hill, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; 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.