Dr. Jeffrey Bruce Pupp
Foot Surgery Foot & Ankle Surgery Primary Podiatric Medicine
1602 Doctors Cir
Wilmington
, North Carolina 28401-7406
Dr. Jeffrey Bruce Pupp
Foot Surgery Foot & Ankle Surgery Primary Podiatric Medicine
1602 Doctors Cir
Wilmington
, North Carolina 28401-7406
(910) 343-9990
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About
Features
Specialties
- Primary Podiatric Medicine
- Foot & Ankle Surgery
- Foot Surgery
Languages spoken
- English
Location
First Address
- Dr. Jeffrey Bruce Pupp
- 1602 Doctors Cir
- Wilmington, NC
- Zip : 28401-7406
- Fax : (910) 343-9990
- Phone : (910) 343-8889
Second Address
- Dr. Jeffrey Bruce Pupp
- 1602 Doctors Cir
- Wilmington, NC
- Zip : 28401-7406
- Fax : (910) 343-9990
- Phone : (910) 343-8889
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Is Dr. Jeffrey Bruce Pupp a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 213EP1101X | Primary Podiatric Medicine | 230 | NC |
| Y | 213ES0103X | Foot & Ankle Surgery | 230 | NC |
| N | 213ES0131X | Foot Surgery | 230 | NC |
National Provider Identifier
| NPI | 1497723324 |
|---|---|
| Provider Name | Dr. Jeffrey Bruce Pupp |
| First Address | Wilmington, NC 28401-7406 |
| Second Address | Wilmington, NC 28401-7406 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/03/2006 |
| Last Update Date | 18/09/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0809N | BCBS NC (01) | NC |
| 890809N | (05) | NC |
| E1549 | MEDCOST (01) | NC |
| E1551 | MEDCOST (01) | NC |
| P00959571 | MEDICARE RAILROAD (01) | NC |
| T34131 | (02) | NC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.